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DR. CARMELO ALFONZO ECHEVERRIA MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1669449187

Individual Registrant:
DR. CARMELO ALFONZO ECHEVERRIA MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1852 N MASTICK WAY  NOGALES, AZ 85621-1063 US
Tel: (52-0) -761-2133  Fax: 520-281-1112

Contact information for business:
1852 N MASTICK WAY  NOGALES, AZ 85621-1063 US
Tel: (52-0) -761-2133  Fax: 520-761-2147

Registration Information:
NPI: 1669449187
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ34090
N207QG0300XAllopathic & Osteopathic Physicians
Family Medicine
OK29834

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
937617AZ05




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