Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN MARK PROCTOR, D.O.
ActiveProcedural Dermatology · BULLHEAD CITY, AZ
Registration Details
- NPI Number
- 1972861326
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2012 (13.996855143766 yrs)
- Last Updated
- Mar 12, 2014
- License
-
006043 (AZ)
Practice Information
- Address
-
3015 HWAY 95SUITE 110BULLHEAD CITY, AZ, 864424334Browse AZ providers · Browse ZIP 86442
- Phone
- 9287588885
- Fax
- 9287582424
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.