Individual
RYAN DOUGLAS EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2945 S DOBSON RD, MESA, AZ 85202-7941
(480) 969-4138
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
5101023176
MI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
009230
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
009230
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099486
—
AZ
Enumeration date
04/19/2012
Last updated
08/23/2022
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