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Organization

RYLYN, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN C MILLER M.D. (SOLE OWNER)
(480) 507-2961
Entity
Organization

Contact information

Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 507-2961
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35445
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DQ1770
MEDICARE RR
AZ
Enumeration date
04/30/2008
Last updated
07/06/2015
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