Individual
RYAN AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6320 W UNION HILLS DR STE 2300B, GLENDALE, AZ 85308-1376
(623) 561-9113
Mailing address
6320 W UNION HILLS DR STE 2300B, GLENDALE, AZ 85308-1376
(623) 561-9113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6275
AZ
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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