Search › Arizona › 152W00000X
Ryan Widdison, O.D
NPI 1639552169 · on the registry since 2015
Practice
- Address
- 1925 Florence Ave
Kingman, AZ 86401 - Phone
- (928) 753-2106
- Fax
- (928) 753-4283
- Organisation at this address
- Mohave Eye Center, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona