Individual
ALEX R VERHOOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4485 S I-19 FRONTAGE RD, STE 100, GREEN VALLEY, AZ 85614
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE, STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
48715
AZ
207X00000X
Orthopaedic Surgery Physician
35-092544
OH
207X00000X
Orthopaedic Surgery Physician
Primary
48715
AZ
207X00000X
Orthopaedic Surgery Physician
MD00011013
WA
208600000X
Surgery Physician
48715
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008582
—
AZ
05
—
1066307
—
WA
01
—
P00186936
RR MEDICARE
WA
Enumeration date
09/08/2005
Last updated
10/22/2015
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