Individual
DR. RYAN B GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
11209 N TATUM BLVD STE B100, PHOENIX, AZ 85028-3091
(602) 973-3888
(602) 973-3028
Mailing address
11209 N TATUM BLVD STE B100, PHOENIX, AZ 85028-3091
(602) 973-3888
(602) 973-3028
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0581
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z0183
HEALTH NET
AZ
01
—
AZ0194890
BCBS
AZ
Enumeration date
08/03/2005
Last updated
03/26/2019
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