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NPI Code Detail

MEDICARE: ROBERT ALTAMURA DO

MEDICARE: ROBERT ALTAMURA DO
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
1208000000XPediatrics Physician1842AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316941677
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ALTAMURA DO
Provider Business Mailing Address
First Line : 4137 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5459
Country : US
Telephone Number : 623-877-7337
Fax Number : 623-772-0686
Provider Business Practice Location Address
First Line : 4137 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5459
Country : US
Telephone Number : 623-877-7337
Fax Number : 623-772-0686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 08/30/2011

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Directions to “ ROBERT ALTAMURA DO” Practice Location

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