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Jose Ivan Rago, MD
Adult Medicine Physician in San Tan Valley, Arizona
NPI 1477714137

Jose Ivan Rago is an Adult Medicine Physician based in Scottsdale, AZ and is specialized in Adult Medicine. Jose Ivan Rago practices in San Tan Valley, AZ and has the professional credentials of MD. The NPI Number for Jose Ivan Rago is 1477714137 and holds a License No. R70138 (Arizona).

The current practice location address for Jose Ivan Rago is 287 E. Hunt Highway, San Tan Valley, AZ and can be reached out via phone at 480-677-8282 and via fax at 480-677-8283.

Location: 287 E. Hunt Highway, San Tan Valley, AZ, 85258-2463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477714137
Provider Name
Jose Ivan Rago
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
287 E. Hunt Highway, San Tan Valley, AZ, 85258-2463
Phone Number
480-677-8282
Fax Number
480-677-8283
Provider Enumeration Date
06/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477714137 01 AZ MEDICARE-NPI
463254 05 AZ
institution
Provider Business Practice Location Address Details
Address
287 E. Hunt Highway
City
San Tan Valley
State
Arizona
Zip
85143-5096
Phone Number
480-677-8282
Fax Number
480-677-8283
person
Provider Business Mailing Address Details
Address
287 E. Hunt Highway
City
San Tan Valley
State
Arizona
Zip
85143-5096
Phone Number
480-677-8282
Fax Number
480-677-8283
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
42140 (Arizona)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R70138 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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