Provider Demographics
NPI:1003371410
Name:PYLES, RYAN TIMOTHY (PA-C, MPAS)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:TIMOTHY
Last Name:PYLES
Suffix:
Gender:M
Credentials:PA-C, MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 1ST ST
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-2923
Mailing Address - Country:US
Mailing Address - Phone:540-280-0169
Mailing Address - Fax:
Practice Address - Street 1:25 COMMERCE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:RAPHINE
Practice Address - State:VA
Practice Address - Zip Code:24472
Practice Address - Country:US
Practice Address - Phone:540-490-2527
Practice Address - Fax:540-377-2099
Is Sole Proprietor?:No
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical