Organization
MEDRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN RYNICK MD (JOINT OWNER)
(504) 708-9164
Entity
Organization
Contact information
Practice address
1111 MEDICAL CENTER BLVD STE 750, MARRERO, LA 70072-3197
(504) 340-6976
Mailing address
544 EVERGREEN DR, MANDEVILLE, LA 70448-7575
(504) 708-9164
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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