AFC OF QUEEN CREEK, PLLC; NPI #1811328560

Contact Information

AFC OF QUEEN CREEK, PLLC

85 W COMBS RD
SUITE 109
SAN TAN VALLEY, AZ 85140-9105

Phone: 480-882-9105
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for AFC OF QUEEN CREEK, PLLC

NPI # 1811328560

LBN Legal business name AFC OF QUEEN CREEK, PLLC

Authorized official NATHALIE ALFONSO - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/06/2013

Last updated 12/06/2013 - About 13 years ago

Identifiers

License #

AP4940

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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AFC OF QUEEN CREEK, PLLC

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for AFC OF QUEEN CREEK, PLLC

Reviews for AFC OF QUEEN CREEK, PLLC