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Individual

MISBAH W. ALTAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 682-7455

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
52163
AZ
207Q00000X
Family Medicine Physician
PT12461
ND
207Q00000X
Family Medicine Physician
RL11228
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12083
ND
05
210891
AZ
Enumeration date
08/19/2009
Last updated
11/17/2023
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