Individual
MR. ALPHONSO TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8528 S 49TH LN, LAVEEN, AZ 85339-2161
(480) 593-2018
Mailing address
7018 W CARSON RD, LAVEEN, AZ 85339-7030
(480) 593-2522
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10046
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985484
AHCCCS ID NUMBER
AZ
Enumeration date
11/29/2006
Last updated
02/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us