Individual
DR. VANCE EDWARD RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21001 N TATUM BLVD, PHOENIX, AZ 85050-4206
(480) 419-9750
(480) 419-9752
Mailing address
10019 E MOUNTAIN VIEW RD UNIT 2092, SCOTTSDALE, AZ 85258-6326
(480) 219-7304
(480) 219-7304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1115
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167475
EYEMED
AZ
Enumeration date
03/07/2007
Last updated
07/08/2007
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