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NPI Code Detail

MEDICARE: RYAN ANTHONY ANAYA

MEDICARE: RYAN ANTHONY ANAYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578292314
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN ANTHONY ANAYA
Provider Business Mailing Address
First Line : 1300 N 12TH ST STE 605
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2850
Country : US
Telephone Number : 602-839-4567
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N 12TH ST STE 605
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2850
Country : US
Telephone Number : 602-839-4567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 03/24/2026

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Directions to “ RYAN ANTHONY ANAYA ” Practice Location

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