NPI 1245406834

Albert Poma

Practitioner Contractor Casa Grande, AZ

Practice location

Address: 1598 E Desert Breeze Dr, Casa Grande, AZ 85222-5812
Phone: (480) 650-6412

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 806015 (AZ)

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Registry record

NPI: 1245406834
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2008
Record last updated: 2 May 2008

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.