Individual
RYAN ANDERSON SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 E 4TH AVE, RANSON, WV 25438-1617
(304) 725-6343
(304) 725-5523
Mailing address
203 E 4TH AVE, RANSON, WV 25438-1617
(304) 725-6343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26398
WV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
26398
WV
Other
Enumeration date
05/17/2011
Last updated
09/18/2024
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