Provider Demographics
NPI:1972914901
Name:DARNALL, RYAN ALEXANDER (DO)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:ALEXANDER
Last Name:DARNALL
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Gender:M
Credentials:DO
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Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1956
Mailing Address - Country:US
Mailing Address - Phone:860-679-4477
Mailing Address - Fax:860-679-1025
Practice Address - Street 1:UCONN HEALTH CENTER SCHOOL OF MEDICINE
Practice Address - Street 2:GENERAL MEDICINE CLINIC-MC2811 263 FARMINGTON AVE.
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-2811
Practice Address - Country:US
Practice Address - Phone:860-679-4477
Practice Address - Fax:860-679-1025
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT56920207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine