Provider Demographics
NPI:1013443100
Name:JUSTICE, DANNY RYANN (MD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:RYANN
Last Name:JUSTICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9755 COURTHOUSE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1984
Mailing Address - Country:US
Mailing Address - Phone:540-898-9680
Mailing Address - Fax:
Practice Address - Street 1:9755 COURTHOUSE RD STE 101
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1984
Practice Address - Country:US
Practice Address - Phone:540-898-9680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-10
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101270299208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics