Alt Med Ctr LLC
Acupuncturist in Phoenix, AZ. Organization (NPI-2).
NPI number1124250345
StatusActive
Last updated in NPPESAug 21, 2009
Details
- NPI
- 1124250345
- Entity type
- Organization (NPI-2)
- Legal business name
- Alt Med Ctr LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2009
- Last updated
- Aug 21, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 0680 | AZ | Yes |
Practice location
1701 W Camelback RdSte 150
Phoenix, AZ 85015
Phone 602-332-8079
Mailing address
1701 W Camelback RdSte 150
Phoenix, AZ 85015
Phone 602-332-8079
Authorized official
Mario Fontes
Acupuncturist
6023328079
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