Individual
DR. RYAN EUGENE LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VOLVO PKWY, SUITE 100, CHESAPEAKE, VA 23320-3341
(757) 389-5370
(757) 389-5381
Mailing address
860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116021359
VA
Other
Enumeration date
07/13/2009
Last updated
09/25/2012
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