RYAN STANDAGE

PRESCOTT, AZ
NPI1144610684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: AZ  AP7623)
Additional Taxonomies363LG0600X Nurse Practitioner Gerontology
(Licence: AZ  AP7623)
Enumeration Date2015-02-04
Last Update Date2016-04-19
Business Address
RYAN STANDAGE MSN
3108 CLEARWATER DR STE A
PRESCOTT, AZ 86305-7170
Phone number: 480-443-8400
Mailing Address
RYAN STANDAGE MSN
4550 E BELL RD SUITE 172
PHOENIX, AZ 85032-9306
Phone number: 480-443-8400