Reginald Pius Q Baldonado, MD
Family Medicine in Surprise, AZ. Individual provider (NPI-1).
NPI number1295966315
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1295966315
- Entity type
- Individual (NPI-1)
- Name
- Reginald Pius Q Baldonado
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2009
- Last updated
- Mar 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 41409 | AZ | Yes |
Practice location
14873 W Bell RdSuite 100
Surprise, AZ 85374-7609
Phone 623-815-7800 · Fax 623-815-7900
Mailing address
9145 W Thunderbird RdSuite 101
Peoria, AZ 85381-4820
Phone 623-815-7800 · Fax 623-815-7900
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