Individual provider · Type 1 NPI

Roxanne Rea, PA-C

Medical Physician Assistant · Gold Canyon, AZ

NPI number 1104177096 Active

Practice location

6410 S Kings Ranch Rd
Gold Canyon, AZ 85118-7352

Fax (480) 654-5761

Mailing address

6410 S Kings Ranch Rd Ste 1
Gold Canyon, AZ 85118-7352

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5184 (AZ)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1104177096

Roxanne Rea, PA-C's National Provider Identifier is 1104177096, issued on Oct 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gold Canyon, AZ. The record was last updated on Sep 15, 2026.