Individual
MR. RUBEN A DAMOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7725 N 43RD AVE STE 510, PHOENIX, AZ 85051-5771
(623) 207-5465
(623) 207-5405
Mailing address
7725 N 43RD AVE STE 510, PHOENIX, AZ 85051-5771
(623) 207-5465
(623) 207-5405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1141
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141
ARIZONA MEDICAL LICENSE
AZ
05
—
576069
—
AZ
Enumeration date
12/11/2007
Last updated
11/25/2025
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