Individual
DR. RYAN CRAIG STUART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
421 E IOWA ST, HOLBROOK, AZ 86025-2770
(928) 524-6171
(928) 524-3963
Mailing address
PO BOX 760, HOLBROOK, AZ 86025-0760
(928) 524-6171
(928) 524-3963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1414
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1414
STATE LICENSE
AZ
05
—
983876
—
AZ
Enumeration date
02/20/2006
Last updated
07/09/2007
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