Individual
RYAN TYLER SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(301) 785-1916
Mailing address
11901 LEATHERBARK WAY, GERMANTOWN, MD 20874-1980
(301) 785-1916
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0006407
MD
Other
Enumeration date
03/05/2017
Last updated
05/27/2022
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