Isaac Alfaro APRN

NPI 1093817884 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1093817884
Gender Male
Enumeration Date 09/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3570 WEST 9000 SOUTH
SUITE # 120
WEST JORDAN UT, 84088, US
Phone (801) 568-2898
Fax (801) 568-2891
Business Location
PO BOX 711185
SALT LAKE CITY UT, 84171, US
Phone (801) 942-3311
Fax (801) 942-5955
Toxanomy
Taxonomy Code 363L00000X
License State Utah
License Number 58988864405
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According to our database, Isaac Alfaro APRN NPI is 1093817884, taxonomy code is 363L00000X and license number is 58988864405, license state is located at Utah. Isaac Alfaro APRN physically located at 3570 West 9000 South, West Jordan UT, 84088. NPI Number Isaac Alfaro APRN has the Individual type.

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1093817884 NPI number is provided on an as is basis without warranty of any kind. 1093817884 is maintained by the National Plan & Provider Enumeration System. The contents of Isaac Alfaro APRN are for informational purposes only.