RYAN LAUSTED

GLENDALE, AZ
NPI1609281617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: KY  R3539)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-06-27
Last Update Date2022-12-20
Business Address
RYAN LAUSTED DO
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306-4622
Phone number: 602-865-5555
Mailing Address
RYAN LAUSTED DO
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306-4622
Phone number: 602-865-5555