Search › Arizona › 101YM0800X
Ivan Van Ravenswaay
NPI 1710863436 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2755 N Centre Court Dr
Tucson, AZ 85705 - Phone
- (520) 390-9243
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-15
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