# AFCC MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1538941166
- **Authorized official:** GUSTAVO E DALOTTO (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (602) 989-5550

## Contact information

- **Practice address:** 727 E BETHANY HOME RD, D118A, PHOENIX, AZ 85014-2198
- **Practice address phone:** (602) 279-2400
- **Practice address fax:** (602) 279-5890
- **Mailing address:** 12833 N 18TH ST, PHOENIX, AZ 85022-5796
- **Mailing address phone:** (602) 989-5550
- **Mailing address fax:** (602) 254-0237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 07/31/2025