Organization · NPI-2

Alphamed Arrowhead LLC

Family Medicine, Sports Medicine · Glendale, AZ

NPI number1174264675
StatusActive
Last updated in NPPESApr 8, 2022

Details

NPI
1174264675
Entity type
Organization (NPI-2)
Legal business name
Alphamed Arrowhead LLC
Organization subpart
Yes
Enumeration date
Apr 6, 2022
Certification date
Apr 8, 2022
Last updated
Apr 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports Medicine––Yes

Other names

  • Alphamed Arrowhead (Doing Business As)

Practice location

20249 N 67th Ave
Glendale, AZ 85308-6843

Phone 623-250-4550

Mailing address

20249 N 67th Ave
Glendale, AZ 85308-6843

Authorized official

Kevin Cantwell
Owner/Provider
6029082025

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