Individual
CHARLES ANDREW ALFANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
500 W THOMAS RD, SUITE 670, PHOENIX, AZ 85013-4224
(602) 234-1300
(602) 234-0202
Mailing address
500 W THOMAS RD, SUITE 670, PHOENIX, AZ 85013-4224
(602) 234-1300
(602) 234-0202
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9785
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231085
AHCCCS
—
01
—
AZ0007990
BCBS
—
Enumeration date
09/22/2005
Last updated
07/08/2007
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