Provider Demographics
NPI:1902968639
Name:SCHULZE, RYAN DAVID (DC)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:DAVID
Last Name:SCHULZE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 E MAYO BLVD STE 1058
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-6154
Mailing Address - Country:US
Mailing Address - Phone:480-419-1500
Mailing Address - Fax:480-419-1605
Practice Address - Street 1:7000 E MAYO BLVD STE 1058
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054
Practice Address - Country:US
Practice Address - Phone:480-419-1500
Practice Address - Fax:480-419-1605
Is Sole Proprietor?:No
Enumeration Date:2006-12-16
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006026659111N00000X
AZ7781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor