Organization
ALT MED CTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO FONTES L.AC. (ACUPUNCTURIST)
(602) 332-8079
Entity
Organization
Contact information
Practice address
1701 W CAMELBACK RD, STE 150, PHOENIX, AZ 85015
(602) 332-8079
Mailing address
1701 W CAMELBACK RD, STE 150, PHOENIX, AZ 85015
(602) 332-8079
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0680
AZ
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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