Individual
DR. DOUGLAS RYAN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMD
Contact information
Practice address
261 S MAIN ST, SNOWFLAKE, AZ 85937-5316
(928) 536-9608
(928) 536-9608
Mailing address
PO BOX 1073, SNOWFLAKE, AZ 85937-1073
(928) 536-9608
(928) 536-9608
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
04-837
AZ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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