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NPI Code Detail

MEDICARE: DR. RYAN JOSEPH SCULLEY D.C.

MEDICARE: DR. RYAN JOSEPH SCULLEY D.C.
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
1111N00000XChiropractor7834AZ

General Provider Information

NPI Number : 1659576155
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN JOSEPH SCULLEY D.C.
Provider Business Mailing Address
First Line : 1839 S ALMA SCHOOL RD STE 354
Second Line :
City : MESA
State : AZ
Zip : 85210-3028
Country : US
Telephone Number : 480-726-2287
Fax Number : 888-316-9272
Provider Business Practice Location Address
First Line : 3011 S LINDSAY RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85295-4333
Country : US
Telephone Number : 480-726-2500
Fax Number : 480-726-2131
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2007
Last Update Date : 02/28/2023

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