Healthcare Provider Details

I. General information

NPI: 1356892202
Provider Name (Legal Business Name): MELANIE B ALARCIO, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2016
Last Update Date: 10/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 E BELL RD STE 203
SCOTTSDALE AZ
85254-6002
US

IV. Provider business mailing address

4921 E BELL RD STE 203
SCOTTSDALE AZ
85254-6002
US

V. Phone/Fax

Practice location:
  • Phone: 602-441-3455
  • Fax: 602-682-7100
Mailing address:
  • Phone: 602-441-3455
  • Fax: 602-682-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number41095
License Number StateAZ

VIII. Authorized Official

Name: MELANIE B ALARCIO
Title or Position: PEDIATRIC NEUROLOGIST
Credential: M.D.
Phone: 602-441-3455