Individual
DR. DEBRA ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2694
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
178361-1
NY
207R00000X
Internal Medicine Physician
Primary
MD031741E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010469440001
—
PA
05
—
00960605
—
NY
01
—
110209290
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039812
PA MEDICARE GROUP
PA
Enumeration date
02/14/2006
Last updated
10/16/2012
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