Individual provider · Type 1 NPI

Ryan Joseph Clancy, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1457566606 Active

Practice location

120 S 30th St, 2nd Floor
Philadelphia, PA 19104-3403

Call (215) 222-2466 Map

Fax (215) 222-2462

Mailing address

1412 Fairmount Avenue
Philadelphia, PA 19130

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA051812 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1457566606

Ryan Joseph Clancy, PA-C's National Provider Identifier is 1457566606, issued on May 11, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 23, 2011.