John M. Altic, PA-C

NPI #1124055637 in Gilbert, Arizona

Provider Information

NPI Number: 1124055637
Entity Type: Individual
Name: John M. Altic, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: PA-C
Enumeration Date: Jun 28, 2006
Last Updated: Jan 11, 2011

Practice Location

Address: 888 S GREENFIELD RD #101
City: Gilbert
State: Arizona
ZIP Code: 85296-4012
Phone: (480) 892-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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