Individual
ALFREDO BEJARANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 W INDIAN SCHOOL RD, PHOENIX, AZ 85015-4908
(602) 241-9105
Mailing address
2121 W MAIN ST APT 3037, MESA, AZ 85201-9091
(520) 510-6728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17-1668
AZ
208VP0000X
Pain Medicine Physician
17-1668
AZ
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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