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Individual

DR. DAVID JOSEPH RYDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4045 E BELL RD, STE. #143, PHOENIX, AZ 85032-2236
(602) 867-0404
(602) 788-0893
Mailing address
4045 E BELL RD, STE. #143, PHOENIX, AZ 85032-2236
(602) 867-0404
(602) 788-0893

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19080
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146086
AZ
01
1Z7050
HEALTH NET
AZ
01
AZ0345920
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/05/2006
Last updated
01/13/2011
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