Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD460192 | PA |
NPI | 1003825431 |
---|---|
Provider Name | Wanda D Ryan |
First Address | Pittsburgh, PA 15211-1466 |
Second Address | Bethel Park, PA 15102-1827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 04/02/2022 |