Individual
RYAN SALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1257 E SWEET CITRUS DR, SAN TAN VALLEY, AZ 85140-5149
(480) 399-1985
Mailing address
7126 E OSBORN RD, APT 3004, SCOTTSDALE, AZ 85251
(480) 399-1985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN186114
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1069
AZ
Other
Enumeration date
08/19/2014
Last updated
10/24/2014
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