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The Alfa Doc LLC

Family Medicine in Valdez, AK. Organization (NPI-2).

NPI number1104487461
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1104487461
Entity type
Organization (NPI-2)
Legal business name
The Alfa Doc LLC
Organization subpart
No
Enumeration date
Jun 26, 2019
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

154 Fairbanks Drive
Valdez, AK 99686

Phone 407-928-2983

Mailing address

Po Box 2507
Valdez, AK 99686-2507

Other practice locations

154 Fairbanks Street
Valdez, AK 99686

Phone 407-928-2983

Authorized official

Angela D Alfaro
Single Member LLC, Owner
9078352532

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