Individual
ALFONSO E ROGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
11045 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 944-4474
(602) 943-7829
Mailing address
11045 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 944-4474
(602) 944-0194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341793
—
AZ
Enumeration date
05/28/2006
Last updated
08/19/2008
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