Individual
DR. J. THOMAS RYAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3100
(540) 374-5200
(540) 374-1164
Mailing address
2300 FALL HILL AVE, SUITE 215, FREDERICKSBURG, VA 22401-3342
(540) 374-5097
(540) 374-0378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101024132
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5632862
—
VA
Enumeration date
05/26/2006
Last updated
07/08/2007
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