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Individual

DR. JOHN REAGAN DE DIOS MENDOZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7383 E TANQUE VERDE RD, TUCSON, AZ 85715-3475
(520) 318-3434
(520) 318-3435
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6224

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43201
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
569996
AZ
Enumeration date
07/07/2008
Last updated
01/14/2015
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