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DORIS VIRGINIA REEVES PA

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619038429

Individual Registrant:
 DORIS VIRGINIA REEVES PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2352 QUARTER HORSE TRAIL  OVERGAARD, AZ 85933 US
Tel: 928-535-3616  Fax: 928-535-3615

Contact information for business:
2200 E SHOW LOW LAKE RD  SHOW LOW, AZ 85901-7831 US
Tel: 928-535-3616  Fax: 029-535-3615

Registration Information:
NPI: 1619038429
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
AZ1533

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEAMR0103907AZ01




HEALTH CARE JOBS AZ - Page 1



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