Individual
PHILIPPE Y REYNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W GUADALUPE RD STE 311, GILBERT, AZ 85233
(480) 830-5669
(480) 830-8074
Mailing address
201 W GUADALUPE RD STE 311, GILBERT, AZ 85233
(480) 830-5669
(480) 830-8074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10690
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2297743
AETNA
AZ
01
—
236283
MERCY CARE
AZ
01
—
2Z0775
HEALTHNET
AZ
01
—
AZ0736430
BLUS CROSS OF AZ
AZ
01
—
P00071493
RAILROAD MEDICARE
AZ
Enumeration date
12/14/2005
Last updated
04/15/2008
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