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A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Behavioral Neurology & Neuropsychiatry |
2084B0040X |
| NPI Number | 1679280671 |
| LBN Legal business name | ALTA MEDICAL CLINIC INC OF ARIZONA |
| Authorized official | PETERSON GO - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/31/2022 |
| Last updated | 10/31/2022 - About 4 years ago |
| Identifiers | n/a |
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ALTA MEDICAL CLINIC INC OF ARIZONA
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ALTA MEDICAL CLINIC INC OF ARIZONA