Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN GRANGE, P.A
ActiveRYAN GRANGE, P.A is a Medical Physician Assistant healthcare provider located in EDGEWOOD, New Mexico. NPI 1295194629 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · EDGEWOOD, NM
Registration Details
- NPI Number
- 1295194629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2016 (10.484135018932 yrs)
- Last Updated
- Apr 14, 2016
- License
-
PA 2016-0016 (NM)
Practice Information
- Address
-
1851 OLD HIGHWAY 66 UNIT 1EDGEWOOD, NM, 87015Browse NM providers · Browse ZIP 87015
- Phone
- 5052862396
- Fax
- 5052862398
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in EDGEWOOD, NM
| Name | Credential | NPI |
|---|---|---|
| LISA RACHELLE TORRES | PA | 1760887376 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.