Individual
RYAN J MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 349-8310
(856) 423-0823
Mailing address
3400 SPRUCE STREET, PHILADELPHIA, PA 19104-4206
(215) 349-8310
(856) 423-0823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN207862L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100880222
—
PA
01
—
P00014033
RAILROAD MEDICARE PIN
—
Enumeration date
07/24/2006
Last updated
06/12/2015
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