Individual
RYAN FIELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
25208 GEORGE WASHINGTON HWY, AURORA, WV 26705-8036
(304) 239-1214
(304) 735-3620
Mailing address
124 FOUNTAIN VW, MORGANTOWN, WV 26505-3849
(304) 239-1214
(304) 735-3620
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
18-900
WV
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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