Individual
ALBERT ANTHONY URQUIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
6769 W LOUISE DR, GLENDALE, AZ 85310-5209
(623) 302-0507
Mailing address
6769 W LOUISE DR, GLENDALE, AZ 85310-5209
(623) 302-0507
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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