Provider Demographics
NPI:1508919622
Name:CORDRY, RYAN THOMAS (DO)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:THOMAS
Last Name:CORDRY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:817 PRINCETON AVE SW
Mailing Address - Street 2:STE 108
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1340
Mailing Address - Country:US
Mailing Address - Phone:205-424-1160
Mailing Address - Fax:205-424-9245
Practice Address - Street 1:975 9TH AVE SW
Practice Address - Street 2:STE. 300
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-7837
Practice Address - Country:US
Practice Address - Phone:205-424-1160
Practice Address - Fax:205-424-9245
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9623207X00000X
AL1149207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery