Individual provider · NPI-1

Dr. Melinda L. Alba, M.D., M.S.

Family Medicine · Peoria, AZ

NPI number1841467263
StatusActive
Last updated in NPPESOct 18, 2019

Details

NPI
1841467263
Entity type
Individual (NPI-1)
Name
Dr. Melinda L. Alba
Credential
M.D., M.S.
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2008
Last updated
Oct 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036.120402ILYes
207Q00000X Family Medicine59854MN
207Q00000X Family Medicine63551-20WI
207Q00000X Family Medicine23698MS
207Q00000X Family Medicine13584ND
207Q00000X Family MedicineMD-40656IA
207Q00000X Family Medicine40726AZ
207Q00000X Family MedicineQ3322TX
207Q00000X Family MedicineC140869CA
207Q00000X Family Medicine74853GA
207Q00000X Family Medicine9114006-1205UT
207Q00000X Family Medicine04-37528KS
207Q00000X Family Medicine2014030682MO
207Q00000X Family MedicineMD.33713AL
207Q00000X Family Medicine9338SD

Practice location

13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846

Phone 623-876-6922 · Fax 623-972-9590

Mailing address

13640 N Plaza Del Rio Blvd
Peoria, AZ 85381-4846

Phone 623-876-6922 · Fax 623-972-9590

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