DR. Alfonso E Urdaneta, MD

NPI #1225085590 in Nashville, Illinois

Provider Information

NPI Number: 1225085590
Entity Type: Individual
Name: DR. Alfonso E Urdaneta, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 30, 2006
Last Updated: Nov 3, 2009

Practice Location

Address: 705 SOUTH GRAND AVENUE
City: Nashville
State: Illinois
ZIP Code: 62263-1534
Phone: (618) 327-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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Organizations

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