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1497923288
RYAN GLENN MIYAMOTO
FAIRFAX, VA
NPI
1497923288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: VA 0101245582)
Enumeration Date
2008-02-14
Last Update Date
2022-01-12
Business Address
Dr. RYAN GLENN MIYAMOTO M.D.
3620 JOSEPH SIEWICK DR STE 201
FAIRFAX, VA 22033-1758
Phone number: 703-391-0111
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Mailing Address
Dr. RYAN GLENN MIYAMOTO M.D.
1860 TOWN CENTER DR STE 300
RESTON, VA 20190-5900
Phone number: 703-435-6604
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