Organization
DESERT VALLEY RADIOLOGY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J RYDER M.D., (PRESIDENT)
(602) 867-0404
Entity
Organization
Contact information
Practice address
4045 E BELL RD, STE. #143, PHOENIX, AZ 85032-2236
(602) 867-0404
(602) 788-0893
Mailing address
4045 E BELL RD, STE. #143, PHOENIX, AZ 85032-2236
(602) 867-0404
(602) 788-0893
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7050
HEALTHNET
—
01
—
AZ0266130
BLUD CROSS BLUE SHIELD
AZ
Enumeration date
05/18/2006
Last updated
10/02/2012
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