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Contact Information

RYAN SOUTHWORTH, DO
1800 E. FLORENCE BLVD
CASA GRANDE, AZ85122
 Phone: 610-776-4622
 Fax: 610-776-4622
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RYAN SOUTHWORTH · (Male)

NPI Number 1386806669
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/27/2008
Last updated 02/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 005891
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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