Individual
MR. RYAN MATTHEW CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
440 N. NAVAJO DR., PAGE, AZ 86040
(928) 645-1700
(928) 645-1701
Mailing address
P.O. BOX 1625, PAGE, AZ 86040-1625
(928) 645-1700
(928) 645-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
07/29/2011
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