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NPI Code Detail

MEDICARE: ARIS P. PARAGUYA MD

MEDICARE:   ARIS P. PARAGUYA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianR80777AZ

General Provider Information

NPI Number : 1396109385
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIS P. PARAGUYA MD
Provider Business Mailing Address
First Line : 1510 E WAGON WHEEL LN STE 104
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-6698
Country : US
Telephone Number : 928-889-2273
Fax Number : 928-212-1355
Provider Business Practice Location Address
First Line : 1510 E WAGON WHEEL LN STE 104
Second Line :
City : FORT MOHAVE
State : AZ
Zip : 86426-6698
Country : US
Telephone Number : 928-889-2273
Fax Number : 928-212-1355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 09/20/2024

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Directions to “ ARIS P. PARAGUYA MD” Practice Location

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