Individual
RYAN BOYNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 420-4027
(602) 535-0940
Mailing address
3863 E DIAMOND AVE, MESA, AZ 85206-1836
(480) 861-0995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN190324
AZ
207L00000X
Anesthesiology Physician
248805
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
248805
AZ
Other
Enumeration date
10/07/2020
Last updated
10/21/2020
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