Ryan Grange, P.A
NPI #1295194629 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1295194629
- Entity Type
- Individual
- Name
- Ryan Grange, P.A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A
- Enumeration Date
- Feb 12, 2016
- Last Updated
- Apr 14, 2016
Practice Location
- Address
- 1851 OLD HIGHWAY 66 UNIT 1
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015
- Phone
- (505) 286-2396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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