Individual
DR. ALFONSO P MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 W ROUTE 66 STE A, GLENDORA, CA 91740-6247
(626) 914-3835
(626) 963-4613
Mailing address
102 W ROUTE 66 STE A, GLENDORA, CA 91740-6247
(626) 914-3835
(626) 963-4613
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
A23044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A230440
—
CA
Enumeration date
11/29/2007
Last updated
11/29/2007
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