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Individual

ALEX TWUMAMPOFO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 981-4391
(480) 981-4624
Mailing address
PO BOX 11773, CHANDLER, AZ 85248-0013
(480) 907-7707
(480) 907-7097

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29669
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
59756003
AZ
Enumeration date
03/22/2006
Last updated
07/02/2015
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