Organization
ALEX TWUM-AMPOFO ULTIMATE HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX TWUM-AMPOFO M.D. (OWNER)
(480) 290-9304
Entity
Organization
Contact information
Practice address
161 W RODEO RD, CASA GRANDE, AZ 85122-6201
(480) 290-9304
(480) 895-9964
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29669
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29669
LICENSE
AZ
Enumeration date
01/24/2012
Last updated
01/24/2012
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