Individual
JOSHUA RYAN NISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-1262
(480) 342-3972
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
50869
AZ
390200000X
Student in an Organized Health Care Education/Training Program
50869
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2014
Last updated
09/17/2024
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