Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101237236 | VA |
NPI | 1053466631 |
---|---|
Provider Name | Dr. Ryan Hester |
First Address | Hampton, VA 23663-0192 |
Second Address | Newport News, VA 23606-4437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 04/09/2007 |