Provider Demographics
NPI:1437176377
Name:RECINOS, DOUGLAS E (RNCST)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:E
Last Name:RECINOS
Suffix:
Gender:M
Credentials:RNCST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3923 S MCCLINTOCK DR
Mailing Address - Street 2:SUITE # 409
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5810
Mailing Address - Country:US
Mailing Address - Phone:480-678-3645
Mailing Address - Fax:480-755-2320
Practice Address - Street 1:3923 S MCCLINTOCK DR
Practice Address - Street 2:SUITE # 409
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5810
Practice Address - Country:US
Practice Address - Phone:480-678-3645
Practice Address - Fax:480-755-2320
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic