Individual
DR. EDUARDO SALCIDO ALCANTAR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,.
Contact information
Practice address
2078 E SOUTHERN AVE STE D101, TEMPE, AZ 85282-7545
(480) 968-9890
(480) 968-9895
Mailing address
2078 E SOUTHERN AVE STE D101, TEMPE, AZ 85282-7545
(480) 968-9890
(480) 968-9895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17509
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277013
—
AZ
Enumeration date
08/23/2006
Last updated
03/28/2011
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