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NPI Code Detail

MEDICARE: RYAN J MCARTHUR CRNA

MEDICARE:   RYAN J MCARTHUR  CRNA
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
1367500000XCertified Registered Nurse AnesthetistR28174ND
2367500000XCertified Registered Nurse Anesthetist278417AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679626972
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN J MCARTHUR CRNA
Provider Business Mailing Address
First Line : 4605 E ELWOOD ST STE 500
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-1978
Country : US
Telephone Number : 480-256-1518
Fax Number : 480-304-3446
Provider Business Practice Location Address
First Line : 4605 E ELWOOD ST STE 500
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-1978
Country : US
Telephone Number : 480-256-1518
Fax Number : 480-304-3446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2007
Last Update Date : 03/07/2024

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Directions to “ RYAN J MCARTHUR CRNA” Practice Location

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