Individual
DANIELA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3540 E BASELINE RD STE 150, PHOENIX, AZ 85042-9630
(602) 323-3000
(602) 243-5390
Mailing address
22618 N 70TH DR, GLENDALE, AZ 85310-5928
(623) 478-2870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34764
AZ
282E00000X
Long Term Care Hospital
34764
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
997950
—
AZ
Enumeration date
01/26/2007
Last updated
07/27/2021
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