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Individual

RYAN DAVID GUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
7810 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-6255
(928) 522-8375
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10923
AZ

Other

Enumeration date
05/27/2014
Last updated
08/22/2023
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