Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 4494 | AZ |
Y | 207PE0004X | Emergency Medical Services | 4494 | AZ |
NPI | 1093818940 |
---|---|
Provider Name | Dr. Ryan Frank |
First Address | Tempe, AZ 85285-7945 |
Second Address | Chandler, AZ 85224-5605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 22/04/2010 |