Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 006421 | AZ |
N | 208600000X | Surgeon | 006421 | AZ |
N | 2086S0129X | Vascular Surgeon | 006421 | AZ |
NPI | 1053555110 |
---|---|
Provider Name | Dr. Ryan Wesley Jones |
First Address | Litchfield Park, AZ 85340-9426 |
Second Address | Litchfield Park, AZ 85340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2009 |
Last Update Date | 06/05/2021 |