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Contact Information

JAMES M REIDY, DO
2680 S VAL VISTA DR
BLDG 13, UNIT 175
GILBERT, AZ85295-2152
 Phone: 480-784-0110
 Fax: 480-784-0220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JAMES M REIDY · (Male)

NPI # 1174551014
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/29/2006
Last updated 08/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 4012
  • AZ Medicaid 876617
  • AZ Other AZ0762840 BLUE CROSS OF AZ
Hospital affiliation(s)
  • MERCY GILBERT MEDICAL CENTER - (Acute Care)
    3555 SOUTH VAL VISTA DRIVE
    GILBERT, AZ 85296
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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