Healthcare Provider Details

I. General information

NPI: 1730005968
Provider Name (Legal Business Name): ALAN E VALADEZ ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 E THOMAS RD STE 102
PHOENIX AZ
85016-8023
US

IV. Provider business mailing address

2839 W MERCER LN
PHOENIX AZ
85029-4411
US

V. Phone/Fax

Practice location:
  • Phone: 602-581-7650
  • Fax:
Mailing address:
  • Phone: 937-789-3822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number26-4057
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: