Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Mark Proctor, DO

Individual provider Procedural Dermatology Physician · NPI 1972861326

Ryan Mark Proctor, DO is a Dermatology in Bullhead City, Arizona. Qualified in 2011, 15 years ago. Practices with Arizona Desert Dermatology and Surgery PC, a 10-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3015 Hway 95 Ste 110
Bullhead City, AZ 86442-4334
Phone: (928) 758-8885
Fax: (928) 758-2424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 006043 (AZ)

Record details

NPI number1972861326
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESMarch 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Arizona Desert Dermatology And Surgery Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount