Individual
RYAN DIPANFILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, CES
Contact information
Practice address
401 E JEFFERSON ST, PHOENIX, AZ 85004-2438
(602) 462-6228
(602) 462-6227
Mailing address
401 E JEFFERSON ST, PHOENIX, AZ 85004-2438
(602) 462-6228
(602) 462-6227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0991
AZ
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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