Provider Demographics
NPI:1538338736
Name:PRIESTLEY, AURON (MD)
Entity type:Individual
Prefix:DR
First Name:AURON
Middle Name:
Last Name:PRIESTLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:AURONY
Other - Middle Name:
Other - Last Name:MUKHOPADHYAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6795 E CALLE LA PAZ
Mailing Address - Street 2:APT 10104
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-9015
Mailing Address - Country:US
Mailing Address - Phone:714-408-0974
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMBELL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:714-408-0974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ82071208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery