Individual
DR. JAY DANIEL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2826 OLD LEE HWY, SUITE 220, FAIRFAX, VA 22031-4323
(703) 205-0770
Mailing address
2826 OLD LEE HWY, SUITE 220, FAIRFAX, VA 22031-4323
(703) 205-0770
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301047
VA
Other
Enumeration date
12/20/2010
Last updated
08/10/2011
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