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Individual

DR. RAMIRO GARCIAREYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1896 EAST BABBIT LANE, SAN LUIS, AZ 85349-1669
(928) 722-6112
Mailing address
PO BOX 1669, 1896 E BABBIT LANE, SAN LUIS, AZ 85349-1669
(928) 722-6112

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11867
AZ
208800000X
Urology Physician
11867
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214057
AZ
01
651170616
TAX ID
AZ
Enumeration date
07/13/2006
Last updated
08/30/2011
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