Organization
ALTA MEDICAL CLINIC INC OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETERSON GO (PRESIDENT)
(909) 236-0338
Entity
Organization
Contact information
Practice address
4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
(909) 236-0338
Mailing address
4742 N 24TH ST STE 300, PHOENIX, AZ 85016-9107
(909) 236-0338
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us