Jamian Ryan, D.O.
Pediatrics in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1649366139
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1649366139
- Entity type
- Individual (NPI-1)
- Name
- Jamian Ryan
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | OS013984 | PA | Yes |
| 2080A0000X | Pediatrics, Adolescent Medicine | 237911-1 | NY |
Practice location
166 Hanover StSte 105
Wilkes Barre, PA 18702-3549
Phone 570-808-6672 · Fax 570-808-6674
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-6144 · Fax 570-271-6578
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