Individual
RICHARD ROBERT ISLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 228-0594
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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