Individual
ALFRED P WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 E 11TH ST, DOUGLAS, AZ 85607-2413
(520) 364-1120
(520) 364-3417
Mailing address
1906 E 11TH ST, DOUGLAS, AZ 85607-2413
(520) 364-1120
(520) 364-6417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269119
—
AZ
Enumeration date
07/13/2006
Last updated
02/15/2012
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