Ryan K Phasouk in Everett - Family Medicine

Ryan K Phasouk - NPI 1215946892

Ryan K Phasouk is a Family Medicine in Everett, Washington. Ryan K Phasouk practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ryan K Phasouk is 1215946892. The last update date is 2022-04-04.

Ryan K Phasouk's current location address is 3927 Rucker Ave, Everett, Washington. You can contact this provider via phone number 4253395422 and fax number 4253395444. The mailing address for Ryan K Phasouk is 3927 Rucker Ave, Everett, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Ryan K Phasouk
Address 3927 Rucker Ave, Everett, Washington
Phone Number 4253395422
Fax Number 4253395444
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1215946892
Provider Enumeration Date 2006-08-05
Last Updated Date 2022-04-04

Provider Mailing Address Detail

Address 3927 Rucker Ave
City Everett
State Washington (WA)
Post Code 982014833
Phone Number 4253395422
Fax Number 4253395444

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36116544
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2040577 WA --
336077643 IL CONTROLLED SUBSTANCE LICE

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FAQs about Ryan K Phasouk

What is the unique identifier code issued to Ryan K Phasouk by the Centers for Medicare & Medicaid Services?

The Ryan K Phasouk has been assigned the NPI (National Provider Identifier) 1215946892. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Ryan K Phasouk is located?

The Ryan K Phasouk is situated at the following address: 3927 Rucker Ave, Everett, WA, 982014833.

What is the Ryan K Phasouk's area of specialization and corresponding taxonomy classification?

The Ryan K Phasouk's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Ryan K Phasouk receive its 1215946892 assignment from the Centers for Medicare & Medicaid Services?

The Ryan K Phasouk was assigned its 1215946892 on 2006-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Ryan K Phasouk most recently updated or refreshed?

The details pertaining to the Ryan K Phasouk, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-04-04.

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