Organization Name: | ALBERTI-CORREA FAMILY MEDICINE, PC |
NPI Number: | 1114144771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARRY ALBERTI (PRESIDENT) |
Mailing Address: | 450 S Willard St Suite 120 Cottonwood |
State: | AZ US |
Postal Code: | 863266743 |
Phone Number: | 9286496477 |
Fax Number: | 9286492719 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | OTC3459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |