| Ryan Crenshaw MD PC | |
|
21135 Whitfield Pl Suite 102 Sterling VA 20165-7279 | |
| (703) 444-4799 | |
| (703) 444-4985 |
| Full Name | Ryan Crenshaw MD PC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 21135 Whitfield Pl, Sterling, Virginia |
| Authorized Official Name and Position | Joanne Crenshaw (OFFICE MANAGER) |
| Authorized Official Contact | 7034212875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Crenshaw MD PC 47568 Anchorage Cir Potomac Falls VA 20165-4712 Ph: (703) 421-2875 | Ryan Crenshaw MD PC 21135 Whitfield Pl Suite 102 Sterling VA 20165-7279 Ph: (703) 444-4799 |
| NPI Number | 1487970695 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487970695 | NPI | - | NPPES |
| 5858143 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101057206 (Virginia) | Primary |
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