Individual
DR. PAUL ANTHONY REYES DEL PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
(602) 344-5149
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52615
AZ
390200000X
Student in an Organized Health Care Education/Training Program
0101257829
VA
Other
Enumeration date
06/21/2010
Last updated
08/01/2016
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