# ALEX J ONOFREI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AZ Family Medicine & Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275651507
- **Authorized official:** DESIREE OGLE (OFFICE MANAGER)
- **Authorized official phone:** (480) 807-3554

## Contact information

- **Practice address:** 6130 E BROWN RD, MESA, AZ 85205-4960
- **Practice address phone:** (480) 807-3554
- **Practice address fax:** (480) 807-8330
- **Mailing address:** 6130 E BROWN RD, MESA, AZ 85205-4960
- **Mailing address phone:** (480) 807-3554
- **Mailing address fax:** (480) 807-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24575 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | 26832 | AZ | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 24575 | AZ | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 09/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Z106145 | MEDICARE ID-PIN | AZ |
