Individual
TODD J ALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-2273
Mailing address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23409
NE
207Q00000X
Family Medicine Physician
Primary
49059
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055301100
—
NE
Enumeration date
07/31/2006
Last updated
06/27/2023
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