| Demetra Barr Reynolds Md Pllc | |
|
1600 W Chandler Blvd Ste 160 Chandler AZ 85224-6170 | |
| (480) 339-9101 | |
| (480) 508-1208 |
| Full Name | Demetra Barr Reynolds Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1600 W Chandler Blvd Ste 160, Chandler, Arizona |
| Authorized Official Name and Position | Demetra Barr Reynolds (OWNER) |
| Authorized Official Contact | 4803369101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Demetra Barr Reynolds Md Pllc 1600 W Chandler Blvd Ste 160 Chandler AZ 85224-6170 Ph: () - | Demetra Barr Reynolds Md Pllc 1600 W Chandler Blvd Ste 160 Chandler AZ 85224-6170 Ph: (480) 339-9101 |
| NPI Number | 1841798055 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 09/17/2018 |
| Medicare PECOS PAC ID | 1759643026 |
|---|---|
| Medicare Enrollment ID | O20180326002135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841798055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Demetra Barr Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790721777 PECOS PAC ID: 8820048309 Enrollment ID: I20050124000629 |
| Provider Name | Fernando T Saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194164285 PECOS PAC ID: 9032351739 Enrollment ID: I20130808000738 |
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