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Individual

RUBEN RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
10494 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3058
(866) 974-2673
(866) 939-2673
Mailing address
18444N 25TH AVE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3375
AZ
363AS0400X
Surgical Physician Assistant
Primary
3375
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164414
AZ
Enumeration date
07/25/2006
Last updated
07/06/2015
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