RYAN CHRISTOPHER UPHAM

BRADENTON, FL
NPI1720330442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PAT9106762)
Enumeration Date2012-10-04
Last Update Date2012-10-04
Business Address
MR. RYAN CHRISTOPHER UPHAM PA
2020 59TH ST W
BRADENTON, FL 34209-4604
Phone number: 941-792-6611
Mailing Address
MR. RYAN CHRISTOPHER UPHAM PA
970 S ORANGE AVE
SARASOTA, FL 34236-8425
Phone number: 941-400-4120