Provider Demographics
NPI:1942591086
Name:MCQUEEN, RYAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:G
Last Name:MCQUEEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-316-5800
Mailing Address - Fax:757-534-5190
Practice Address - Street 1:2244 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666
Practice Address - Country:US
Practice Address - Phone:757-827-1001
Practice Address - Fax:757-581-3161
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-24
Last Update Date:2019-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012627102084P0800X
NC1730122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry