Afc of Queen Creek, Pllc
NPI #1811328560 in San Tan Valley, Arizona
Provider Information
- NPI Number
- 1811328560
- Entity Type
- Organization
- Organization Name
- Afc of Queen Creek, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AFC OF QUEEN CREEK, PLLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 6, 2013
- Last Updated
- Dec 6, 2013
Practice Location
- Address
- 85 W COMBS RD
- Address 2
- SUITE 109
- City
- San Tan Valley
- State
- Arizona
- ZIP Code
- 85140-9105
- Phone
- (480) 882-9105
Authorized Official
- Name
- NATHALIE T. ALFONSO
- Title
- MEDICAL DIRECTOR
- Phone
- (480) 882-9105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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