Provider Demographics
NPI:1952627663
Name:BROWER, RYAN WADE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:WADE
Last Name:BROWER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:6402 E SUPERSTITION SPRINGS BLVD
Mailing Address - Street 2:STE 123
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4391
Mailing Address - Country:US
Mailing Address - Phone:480-794-1061
Mailing Address - Fax:480-494-5770
Practice Address - Street 1:6820 S KINGS RANCH RD
Practice Address - Street 2:SUITE 130
Practice Address - City:GOLD CANYON
Practice Address - State:AZ
Practice Address - Zip Code:85118-2935
Practice Address - Country:US
Practice Address - Phone:480-982-3691
Practice Address - Fax:480-982-3692
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2020-09-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical