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MR. JUAN FELIPE PRIETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, ATC

Contact information

Practice address
5301 E GRANT RD, ORTHOPAEDIC BLDG, 1ST FLOOR, TUCSON, AZ 85712
(520) 784-6200
(520) 784-6109
Mailing address
11710 N EDI PL, TUCSON, AZ 85737-9571

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1353
AZ
363A00000X
Physician Assistant
Primary
6278
AZ
363AS0400X
Surgical Physician Assistant
6278
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154038
AZ
Enumeration date
03/14/2009
Last updated
08/02/2018
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