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Individual

DR. ALFONSO TELLEZ II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-1290
Mailing address
2640 E 14TH ST, YUMA, AZ 85365-1909
(928) 257-2262

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
61410
AZ

Other

Enumeration date
06/08/2017
Last updated
05/19/2023
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