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Organization

ALLIANCE MEDICAL CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA ANNE BAER (PRACTICE MANAGER)
(623) 271-8704
Entity
Organization

Contact information

Practice address
42104 N VENTURE DR, SUITE D118, ANTHEM, AZ 85086-3823
(623) 505-6565
(623) 551-5567
Mailing address
42104 N VENTURE DR, SUITE D 118, ANTHEM, AZ 85086-3823
(623) 505-6565
(623) 505-6565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
06/16/2006
Last updated
04/12/2022
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