Individual
RYAN MARK PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3015 HWAY 95, SUITE 110, BULLHEAD CITY, AZ 86442-4334
(928) 758-8885
(928) 758-2424
Mailing address
3015 HWAY 95, SUITE 110, BULLHEAD CITY, AZ 86442-4334
(928) 758-8885
(928) 758-2424
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
006043
AZ
Other
Enumeration date
04/23/2012
Last updated
03/12/2014
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