Individual
MS. MIA LAUREN RYCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
875 S DOBSON RD, CHANDLER, AZ 85224-5710
(480) 899-9800
(480) 899-2994
Mailing address
875 S DOBSON RD, CHANDLER, AZ 85224-5710
(480) 899-9800
(480) 899-2994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7560
AZ
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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