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Contact Information

RYAN TISCARENO, BS
621 WEST CHERRY AVE
FLAGSTAFF, AZ86001
 Phone: 209-614-5876
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for RYAN TISCARENO · (Male)

NPI Number 1912432675
Status Active
Credentials BS
Entity Individual
Enumeration date 05/01/2017
Last updated 05/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers Not Available
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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