Individual
DR. THADDEUS ALEXAS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12315 N VISTOSO PARK RD, ORO VALLEY, AZ 85755-5819
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
010355
AZ
208VP0014X
Interventional Pain Medicine Physician
A-1463-08
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11553251
—
CO
05
—
1679535298
—
UT
01
—
202039285
PRESBYTERIAN HEALTH PLAN
NM
05
—
470441
—
AZ
01
—
7129724
AETNA
NM
05
—
89731034
—
NM
01
—
P00896733
R R MEDICARE
NM
Enumeration date
04/06/2006
Last updated
05/15/2024
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