Healthcare Provider Details

I. General information

NPI: 1457569758
Provider Name (Legal Business Name): PAUL ARAIZA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 W FRANKLIN ST
TUCSON AZ
85701-8207
US

IV. Provider business mailing address

82 S STONE AVE
TUCSON AZ
85701-1713
US

V. Phone/Fax

Practice location:
  • Phone: 520-884-5249
  • Fax:
Mailing address:
  • Phone: 520-792-3293
  • Fax: 520-792-4336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35114
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: