Ryan Scott Rafa
Physician Assistant in Morgantown, WV. Individual provider (NPI-1).
NPI number1124663232
StatusActive
Last updated in NPPESApr 18, 2023
Details
- NPI
- 1124663232
- Entity type
- Individual (NPI-1)
- Name
- Ryan Scott Rafa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2019
- Certification date
- Apr 18, 2023
- Last updated
- Apr 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2428 | WV | Yes |
Practice location
1005 White Willow WayMorgantown, WV 26505-6119
Phone 304-460-5123 · Fax 800-734-8498
Mailing address
1005 White Willow WayMorgantown, WV 26505-6119
Phone 304-460-5123 · Fax 800-734-8498
Other practice locations
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Morgantown, WV 26505-3494
Phone 304-598-1200 · Fax 304-598-1699
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