Individual
DR. ALI ETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N 12TH ST STE 605, PHOENIX, AZ 85006-2850
(602) 839-4567
Mailing address
1300 S COUNTRY CLUB DR, MESA, AZ 85210-5162
(480) 827-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70200
AZ
Other
Enumeration date
04/03/2020
Last updated
10/16/2023
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