Individual
JAVIER ALVIDREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
160 E ATHLETICS WAY, MESA, AZ 85201-5068
(480) 387-5800
Mailing address
9642 W DONALD DR, PEORIA, AZ 85383-4185
(813) 523-3551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-001178
AZ
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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