Individual
RYAN CANAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9388
(785) 531-0459
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9388
(662) 293-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-4740
MS
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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