Individual
RYAN KENT MARTINIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
159 HARTLEY WAY, PEARISBURG, VA 24134-2471
(540) 921-6000
(540) 921-5606
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101269812
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2017
Last updated
08/12/2022
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