Ryan Shubat

NPI #1992133805 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1992133805
Entity Type: Individual
Name: Ryan Shubat
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 31, 2013
Last Updated: Feb 2, 2015

Practice Location

Address: 9040 FITZSIMMONS DR
Address 2: DEPARTMENT OF BEHAVIORAL HEALTH
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98431-1000
Phone: (253) 968-4184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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