Provider Demographics
NPI:1184887937
Name:BRANNON, RYAN K (MD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:K
Last Name:BRANNON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 CHERRY ST
Mailing Address - Street 2:SUITE 11511
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1320
Mailing Address - Country:US
Mailing Address - Phone:215-255-7822
Mailing Address - Fax:215-255-7825
Practice Address - Street 1:245 N 15TH ST # MS 495
Practice Address - Street 2:ROOM 16121, 16FH FL - NCB
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1101
Practice Address - Country:US
Practice Address - Phone:215-762-8220
Practice Address - Fax:215-762-1470
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2016-05-10
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Provider Licenses
StateLicense IDTaxonomies
PAMD442294207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology