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Individual

RICHARD NEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3293
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
968662
AZ
Enumeration date
03/06/2007
Last updated
11/07/2007
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