Individual provider · Type 1 NPI
Russell Alfaro
Multi-Specialty Clinic/Center · Graham, WA
NPI number
1265199178
Active
Practice location
21806 103rd Avenue Ct E Ste 101
Graham, WA 98338-8115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
About NPI 1265199178
Russell Alfaro's National Provider Identifier is 1265199178, issued on Nov 26, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Graham, WA. The record was last updated on Nov 26, 2021.