Individual
DR. ALFONSO LLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7383 E TANQUE VERDE RD, TUCSON, AZ 85715-3475
(520) 318-3434
(520) 296-6224
Mailing address
PO BOX 43130, TUCSON, AZ 85733-3130
(520) 722-3777
(520) 296-6224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101223311
VA
207R00000X
Internal Medicine Physician
Primary
41384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005863571
—
VA
01
—
110231194
RAILROAD MEDICARE
—
01
—
219970
ANTHEM BC/BS
VA
01
—
298373
MDIPA/MAMSI/OPTIMUM
—
01
—
51574
SENTARA OPTIMA
VA
01
—
541910047
CIGNA
—
01
—
603296
BC/BS PENNSYLVANIA
PA
05
—
8906415
—
NC
05
—
911940000
—
FL
Enumeration date
07/01/2005
Last updated
01/14/2015
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