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Individual

SEAN REA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
13995 W STATLER BLVD, SURPRISE, AZ 85374-5501
(623) 478-3100
Mailing address
300 WEST 27TH STREET, SOUTHEASTERN HEALTH, LUMBERTON, NC 28359
(910) 738-2662
(910) 272-1753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009351
AZ
207Q00000X
Family Medicine Physician
208394
NC

Other

Enumeration date
03/19/2015
Last updated
04/18/2022
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