Individual
ALFONSO SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(623) 931-2444
(623) 931-1099
Mailing address
7734 N 59TH AVE, GLENDALE, AZ 85301-7816
(623) 931-2444
(623) 931-1099
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30202
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689854
—
AZ
Enumeration date
01/25/2006
Last updated
07/08/2007
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