Most Relevant Information
Provider Data
| NPI Number: | 1003349457 |
| Provider Name: | RYAN MCCLINTOCK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | MD482353 |
Most Important Dates
| Enumeration Date: | 04/04/2017 |
| Last Updated: | 02/28/2024 |
Provider Practice Location
3400 SPRUCE STREET
PHILADELPHIA
PA
191044206
Practice Location Phone/Fax
| Phone: | 2156623000 |
| Fax: | 2156627011 |
Provider Mailing Location
3737 MARKET ST
PHILADELPHIA
PA
191045545
Provider Mailing Phone/Fax
| Phone: | 2152949502 |
| Fax: | 2152228830 |