Individual
DEVON RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214
(315) 251-3100
Mailing address
5719 WIDEWATERS PKWY, SYRACUSE ORTHOPEDIC SPECIALISTS, SYRACUSE, NY 13214
(315) 251-3105
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
304362
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07132061
—
NY
Enumeration date
05/11/2016
Last updated
10/31/2022
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