Provider Demographics
NPI:1730109745
Name:UVAS, ANTONIO T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:T
Last Name:UVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:14300 W GRANITE VALLEY DR
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5783
Mailing Address - Country:US
Mailing Address - Phone:623-776-3047
Mailing Address - Fax:
Practice Address - Street 1:14300 W GRANITE VALLEY DR
Practice Address - Street 2:SUITE B-7
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5783
Practice Address - Country:US
Practice Address - Phone:623-776-3047
Practice Address - Fax:623-776-3127
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ35614207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine