Individual
RAUL D ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 E BASELINE RD STE 121, PHOENIX, AZ 85042-6541
(602) 243-3455
(602) 243-3404
Mailing address
26 E BASELINE RD STE 121, PHOENIX, AZ 85042-6541
(602) 243-3455
(602) 243-3404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17336
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276792
—
AZ
01
—
AZ0854030
BLUE CROSS ID
AZ
Enumeration date
10/19/2006
Last updated
10/03/2024
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