person
Ryan W Anderson, PA-C
Medical Physician Assistant in Charleston, West Virginia
NPI 1407847833

Ryan W Anderson is a Medical Physician Assistant based in Montgomery, WV and is specialized in Medical. Ryan W Anderson practices in Charleston, WV and has the professional credentials of PA-C. The NPI Number for Ryan W Anderson is 1407847833 and holds a License No. 01148 (West Virginia).

The current practice location address for Ryan W Anderson is 3701 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-442-5151 and via fax at 304-442-7494.

Location: 3701 Maccorkle Ave Se, Charleston, WV, 25136-2116
person
Provider Profile Details
NPI Number
1407847833
Provider Name
Ryan W Anderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3701 Maccorkle Ave Se, Charleston, WV, 25136-2116
Phone Number
304-442-5151
Fax Number
304-442-7494
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
374 01 WV WV BD. OSTEO LICENSE
01148 01 WV STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3701 Maccorkle Ave Se
City
State
Zip
25304-1525
Phone Number
304-442-5151
Fax Number
304-442-7494
person
Provider Business Mailing Address Details
Address
3701 Maccorkle Ave Se
City
State
Zip
25304-1525
Phone Number
304-442-5151
Fax Number
304-442-7494
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01148 (West Virginia)
Definition
Definition to come...
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