Individual
MR. FERNANDO ALVIDREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11200 N 83RD AVE, PEORIA, AZ 85345-5945
(623) 486-6301
(623) 486-6330
Mailing address
11200 N 83RD AVE, PEORIA, AZ 85345-5945
(623) 486-6301
(623) 486-6330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0437
AZ
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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