Most Relevant Information
Provider Data
| NPI Number: | 1003462433 |
| Provider Name: | MEGAN ELIZABETH RYAN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1894 |
Most Important Dates
| Enumeration Date: | 08/12/2019 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
2200 FORT ROOTS DR RM 106
NORTH LITTLE ROCK
AR
721141709
Practice Location Phone/Fax
| Phone: | 5012571484 |
| Fax: | 5012571421 |
Provider Mailing Location
702 OAK MANOR DR
EL DORADO
AR
717308506
Provider Mailing Phone/Fax
| Phone: | 8709041478 |
| Fax: |