Organization Name: | ESSENTIAL CARE FAMILY MEDICINE, P.C. |
NPI Number: | 1538376918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLOS RODOLFO ALFARAZ (PRESIDENT) |
Mailing Address: | 3111 Clearwater Dr Suite C Prescott |
State: | AZ US |
Postal Code: | 863057186 |
Phone Number: | 9287764800 |
Fax Number: | 9287764808 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301060737 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |