# THE ALFA DOC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104487461
- **Authorized official:** DR. ANGELA D ALFARO MD (SINGLE MEMBER LLC, OWNER)
- **Authorized official phone:** (907) 835-2532

## Contact information

- **Practice address:** 154 FAIRBANKS DRIVE, VALDEZ, AK 99686
- **Practice address phone:** (407) 928-2983
- **Mailing address:** PO BOX 2507, VALDEZ, AK 99686-2507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2019
- **Last updated:** 07/22/2020
