| Clinica Dr Alfonso Salas Pc | |
|
7734 N 59th Ave Glendale AZ 85301-7816 | |
| (623) 931-2444 | |
| (623) 931-1099 |
| Full Name | Clinica Dr Alfonso Salas Pc |
|---|---|
| Speciality | General Practice |
| Location | 7734 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Jannet Decardenas (BILLING MANAGER) |
| Authorized Official Contact | 4808971175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dr Alfonso Salas Pc Po Box 355 Glendale AZ 85311-0355 Ph: (623) 931-2444 | Clinica Dr Alfonso Salas Pc 7734 N 59th Ave Glendale AZ 85301-7816 Ph: (623) 931-2444 |
| NPI Number | 1265692792 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265692792 | NPI | - | NPPES |
| 000083 | Medicaid | AZ | |
| 560337 | Medicaid | AZ | |
| 587766 | Medicaid | AZ | |
| 173414 | Medicaid | AZ | |
| 616245 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 29615 (Arizona) | Primary |
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