Individual
MR. FRED ANTHONY ALTAMIRANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
5375 E ERICKSON DR, #104, TUCSON, AZ 85712-2838
(520) 881-2312
(520) 881-2315
Mailing address
8011 N PADOVA PL, TUCSON, AZ 85741-1231
(520) 250-3599
(520) 881-2315
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO004047
AZ
Other
Enumeration date
11/15/2005
Last updated
07/08/2007
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