Individual
CANDACE M REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
3518
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3518
MEDICAL LICENSE
AZ
05
—
586042
—
AZ
01
—
Z65549
MEDICARE PTAN
AZ
Enumeration date
09/08/2005
Last updated
03/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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