Individual
RYAN RAY LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3643
Mailing address
744 E 400 S, OREM, UT 84097-6412
(801) 319-3194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13532555-1206
UT
Other
Enumeration date
07/17/2020
Last updated
10/21/2023
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