Individual
NATHANIEL A. REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 324-5664
(520) 324-4156
Mailing address
MSC 030, PO BOX 29072, PHOENIX, AZ 85038-9072
(520) 324-4100
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47672
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
47672
AZ
207RP1001X
Pulmonary Disease Physician
Primary
47672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042339
—
AZ
Enumeration date
07/25/2008
Last updated
09/16/2021
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