Juan Felipe Prieto, PA-C, ATC
Physician Assistant in Tucson, AZ. Individual provider (NPI-1).
NPI number1245471663
StatusActive
Last updated in NPPESAug 2, 2018
Details
- NPI
- 1245471663
- Entity type
- Individual (NPI-1)
- Name
- Mr. Juan Felipe Prieto
- Credential
- PA-C, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2009
- Last updated
- Aug 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 6278 | AZ | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1353 | AZ | |
| 363AS0400X | Physician Assistant, Surgical | 6278 | AZ |
Practice location
5301 E Grant RdOrthopaedic Bldg, 1st Floor
Tucson, AZ 85712
Phone 520-784-6200 · Fax 520-784-6109
Mailing address
11710 N Edi PlTucson, AZ 85737-9571
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