Individual
JEFFREY G RERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6042 N 10TH PL, PHOENIX, AZ 85014-1929
(602) 466-2943
(602) 466-2943
Mailing address
6042 N 10TH PL, PHOENIX, AZ 85014-1929
(602) 466-2943
(602) 466-2943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
229980
NY
207Q00000X
Family Medicine Physician
Primary
4459
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174514756
GROUP NPI
AZ
Enumeration date
05/16/2006
Last updated
02/23/2026
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