NPI 1083149579
Albert Anthony Urquidez, SFIDC
Practice location
- Address
- 6769 W Louise Dr, Glendale, AZ 85310-5209
- Phone
- (623) 302-0507
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1083149579
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Apr 2017
- Record last updated
- 22 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.