Individual
REDENTOR T ESPIRITU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7147 W SOFTWIND DR, PEORIA, AZ 85383
(623) 444-4351
(623) 234-9932
Mailing address
7147 W SOFTWIND DR, PEORIA, AZ 85383-3247
(623) 444-4351
(623) 234-9932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31859
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z124234
PTAN
AZ
Enumeration date
08/16/2005
Last updated
09/05/2018
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