MEDICARE: ANFAL ATIF

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1154264075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANFAL ATIF

Provider Business Mailing Address
First Line	:	269 SOUTH CANDY LANE, COTTONWOOD, ARIZONA 86326 ATTN: R
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326
Country	:	US
Telephone Number	:	928-639-6054
Fax Number	:

Provider Business Practice Location Address
First Line	:	269 SOUTH CANDY LANE, COTTONWOOD, ARIZONA 86326 VERD
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326
Country	:	US
Telephone Number	:	928-639-6054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ ANFAL ATIF ” Practice Location

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