Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 105453 |
NPI | 1114536943 |
---|---|
Provider Name | Eilier Alarcon Galan |
First Address | El Mirage, AZ 85335-3349 |
Second Address | El Mirage, AZ 85335-3349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2020 |
Last Update Date | 28/01/2021 |