Individual
CHARLES H RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1270 W SILVERLAKE RD, TUCSON, AZ 85713-2728
(520) 547-8344
(520) 351-8142
Mailing address
13803 E FIERY DAWN DR, VAIL, AZ 85641-6457
(520) 721-0997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2699
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886103
—
AZ
Enumeration date
08/01/2006
Last updated
04/19/2012
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