Individual
TERESA LYNN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4840 E INDIAN SCHOOL RD, SUITE 100, PHOENIX, AZ 85018-5500
(602) 508-2900
(602) 952-9432
Mailing address
4840 E INDIAN SCHOOL RD, SUITE 100, PHOENIX, AZ 85018-5500
(602) 508-2900
(602) 952-9432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1192
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310805
—
AZ
Enumeration date
02/26/2007
Last updated
07/08/2007
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