Individual
MR. STEPHEN LEE RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532-2127
(228) 230-2663
(228) 206-1192
Mailing address
6300 E LAKE BLVD, STE. 301, VANCLEAVE, MS 39565-6770
(228) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00168
MS
Other
Enumeration date
07/30/2012
Last updated
12/04/2019
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