Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 17-1669 | AZ |
NPI | 1003327206 |
---|---|
Provider Name | Dr. Guillermo Ruiz |
First Address | Tempe, AZ 85282-1777 |
Second Address | Scottsdale, AZ 85260-7308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2017 |
Last Update Date | 16/10/2017 |