Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 03-727 | AZ |
N | 175F00000X | Naturopath | ND-153 | HI |
NPI | 1114114329 |
---|---|
Provider Name | Dr. Ryan Dale Ferchoff |
First Address | Honolulu, HI 96822-1855 |
Second Address | Sedona, AZ 86336-5566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2007 |
Last Update Date | 20/11/2012 |