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Individual

CANDACE M REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1001 DIVISION ST, PRESCOTT, AZ 86301-1601
(928) 775-5567
(928) 772-1522
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358

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
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