Afc of Queen Creek, PLLC

Organization Active NPI Non-Pharmacy Dispensing Site · San Tan Valley, AZ

NPI 1811328560 · NPPES record last updated Dec 6, 2013

Key facts

NPI
1811328560
Entity type
Organization (NPI type 2)
Primary specialty
Non-Pharmacy Dispensing Site 332900000X
License
AP4940 (AZ)
Legal business name
AFC OF QUEEN CREEK, PLLC
Practice address
85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9105
Phone
(480) 882-9105
NPI assigned
Dec 6, 2013
Organization subpart
Yes
Parent organization (as reported)
AFC OF QUEEN CREEK, PLLC

Authorized official

Name
Nathalie T. Alfonso
Title
Medical Director
Phone
(480) 882-9105

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Afc of Queen Creek PLLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X AP4940 AZ Yes

Addresses

Primary practice location

85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9105

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726

Other providers in San Tan Valley, AZ

All providers in San Tan Valley, AZ · Non-Pharmacy Dispensing Site in Arizona

Sources for this page

Verify at the official NPI Registry.