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Individual

JAMES MICHAEL REIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2680 S VAL VISTA DR, BLDG 13, UNIT 175, GILBERT, AZ 85295-2152
(480) 784-0110
(480) 784-0220
Mailing address
2680 S VAL VISTA DR, BLDG 13, UNIT 175, GILBERT, AZ 85295-2152
(480) 784-0110
(480) 784-0220

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4012
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876617
AZ
01
AZ0762840
BLUE CROSS OF AZ
AZ
Enumeration date
06/29/2006
Last updated
08/28/2012
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