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NPI Code Detail

MEDICARE: ALOFTA ONE ENTERPRISES, INC.

MEDICARE: ALOFTA ONE ENTERPRISES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1376065771
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALOFTA ONE ENTERPRISES, INC.
Provider Business Mailing Address
First Line : 2450 W HAPPY VALLEY RD STE 1148
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-8510
Country : US
Telephone Number : 602-491-2695
Fax Number :
Provider Business Practice Location Address
First Line : 2450 W HAPPY VALLEY RD STE 1148
Second Line :
City : PHOENIX
State : AZ
Zip : 85085-8510
Country : US
Telephone Number : 602-491-2695
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ADAM DRESHER
Credential :
Telephone Number : 602-491-2695
Provider Enumeration Date : 07/07/2017
Last Update Date : 07/21/2022

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Directions to “ALOFTA ONE ENTERPRISES, INC. ” Practice Location

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