Healthcare Provider Details

I. General information

NPI: 1578540415
Provider Name (Legal Business Name): JOHN A ARIZA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 07/22/2024
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W. 7TH ST. SUITE 202
RENO NV
89503
US

IV. Provider business mailing address

P.O. BOX 33880
RENO NV
89533-3880
US

V. Phone/Fax

Practice location:
  • Phone: 775-355-1001
  • Fax: 775-355-8216
Mailing address:
  • Phone: 775-355-1001
  • Fax: 775-355-8216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number9502
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: