Individual
RYAN SHUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 FITZSIMMONS DR, DEPARTMENT OF BEHAVIORAL HEALTH, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-4184
Mailing address
9040 FITZSIMMONS DR, DEPARTMENT OF BEHAVIORAL HEALTH, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-4184
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
02/02/2015
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