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Organization

AFCC MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUSTAVO E DALOTTO (OWNER/AUTHORIZED OFFICIAL)
(602) 989-5550
Entity
Organization

Contact information

Practice address
727 E BETHANY HOME RD, D118A, PHOENIX, AZ 85014-2198
(602) 279-2400
(602) 279-5890
Mailing address
12833 N 18TH ST, PHOENIX, AZ 85022-5796
(602) 989-5550
(602) 254-0237

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
207Q00000X
Family Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Enumeration date
10/18/2023
Last updated
07/31/2025
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