Individual
DR. RYAN SEYED MOOSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(602) 576-4642
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4220
AZ
Other
Enumeration date
06/11/2024
Last updated
06/18/2024
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