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Individual

REYES R TOPETE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3145 E CHANDLER BLVD, STE 110 PMB 437, PHOENIX, AZ 85048-8702
(623) 680-0096
(866) 761-1196
Mailing address
3145 E CHANDLER BLVD, STE 110 PMB 437, PHOENIX, AZ 85048-8702
(623) 680-0096
(866) 761-1196

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
22381
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
335720
AZ
Enumeration date
04/27/2006
Last updated
02/25/2016
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