Individual provider · Type 1 NPI

Ryan Glenn Miyamoto, MD

Sports Medicine (Orthopaedic Surgery) Physician · Fairfax, VA

NPI number 1497923288 Active

Practice location

3620 Joseph Siewick Dr Ste 201
Fairfax, VA 22033-1758

Call (703) 391-0111 Map

Fax (703) 391-2945

Mailing address

1860 Town Center Dr Ste 300
Reston, VA 20190-5900

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	0101245582 (VA)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1497923288

Ryan Glenn Miyamoto, MD's National Provider Identifier is 1497923288, issued on Feb 14, 2008. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Fairfax, VA. The record was last updated on Jan 12, 2022.