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Individual

DR. MISAEL CHAEN ALONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14955 W BELL RD UNIT 9080, SURPRISE, AZ 85374-8285
(623) 628-9349
(623) 691-8178
Mailing address
14955 W BELL RD UNIT 9080, SURPRISE, AZ 85374-8285
(623) 628-9349
(623) 691-8178

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31568
AZ
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
31568
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
991879
AZ
Enumeration date
05/08/2006
Last updated
07/24/2024
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