Individual
MR. THOMAS O. AFFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7927
(602) 664-7998
Mailing address
5601 N 16TH ST, PHOENIX, AZ 85016-2903
(602) 664-7927
(602) 664-7998
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041491
AZ
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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