Individual
DR. CARMELO ALFONZO ECHEVERRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 761-2133
(520) 281-1112
Mailing address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 761-2133
(520) 761-2147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34090
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
29834
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937617
—
AZ
Enumeration date
03/02/2006
Last updated
07/21/2022
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