Individual
JAMIAN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
166 HANOVER ST, STE 105, WILKES BARRE, PA 18702-3549
(570) 808-6672
(570) 808-6674
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS013984
PA
2080A0000X
Pediatric Adolescent Medicine Physician
237911-1
NY
Other
Enumeration date
10/04/2006
Last updated
08/10/2020
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