Individual
DR. JOSEPH VINCENT RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4502 E OAK ST, AT COSTCO, PHOENIX, AZ 85008-2411
(602) 508-1689
Mailing address
3073 E PARK AVE, GILBERT, AZ 85234-6362
(602) 508-1689
(602) 952-7117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
701
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60110
PIN
—
Enumeration date
04/03/2007
Last updated
07/08/2007
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