Individual provider · Type 1 NPI

Ryan W. Anderson, PA-C

Medical Physician Assistant · Charleston, WV

NPI number 1407847833 Active

Practice location

3701 Maccorkle Ave SE
Charleston, WV 25304-1525

Call (304) 442-5151 Map

Fax (304) 442-7494

Mailing address

401 6th Ave
Montgomery, WV 25136-2116

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X01148 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1407847833

Ryan W. Anderson, PA-C's National Provider Identifier is 1407847833, issued on Nov 3, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Dec 13, 2021.