MEDICARE: CELIA R ALVAREZ-REEDER PA-C

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
1	363AM0700X	Medical Physician Assistant	2569	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730207184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELIA R ALVAREZ-REEDER PA-C

Provider Business Mailing Address
First Line	:	2033 E WARNER RD
Second Line	:	SUITE 109
City	:	TEMPE
State	:	AZ
Zip	:	85284-3417
Country	:	US
Telephone Number	:	480-820-5525
Fax Number	:	480-831-6755

Provider Business Practice Location Address
First Line	:	2033 E WARNER RD
Second Line	:	SUITE 109
City	:	TEMPE
State	:	AZ
Zip	:	85284-3417
Country	:	US
Telephone Number	:	480-820-5525
Fax Number	:	480-831-6755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	04/04/2017

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