Individual
MICAH RUBEN RUYBALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
7160 E KIERLAND BLVD, SCOTTSDALE, AZ 85254-2987
(308) 546-7405
Mailing address
1225 E SELDON LN, PHOENIX, AZ 85020-3260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
279581
AZ
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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