Individual
JOHN J DE BARROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 E BASELINE RD STE 105, MESA, AZ 85206-4670
(480) 485-8585
(480) 545-2673
Mailing address
PO BOX 40640, MESA, AZ 85274-0640
(480) 485-8585
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0422490
BCBS AZ
AZ
Enumeration date
06/12/2006
Last updated
05/08/2023
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