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Contact Information

ALT MED CTR LLC
1701 W CAMELBACK RD
STE 150
PHOENIX, AZ85015
 Phone: 602-332-8079
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ALT MED CTR LLC

NPI Number 1124250345
LBN Legal business name ALT MED CTR LLC
Authorized official MARIO FONTES - (ACUPUNCTURIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2009
Last updated 08/21/2009 - About 17 years ago
Identifiers
AZ License # 0680
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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