Individual
DR. EVAN JOSEPH RYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2770
(570) 271-6369
(570) 271-5840
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
235057-1
NY
2086S0129X
Vascular Surgery Physician
104471
MN
2086S0129X
Vascular Surgery Physician
52356
MN
2086S0129X
Vascular Surgery Physician
Primary
MD442412
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102623000
—
PA
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00873617
RAILROAD MEDICARE
MN
Enumeration date
06/02/2008
Last updated
08/10/2020
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