Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alta Medical Clinic Inc of Arizona

Organization Behavioral Neurology & Neuropsychiatry Physician · NPI 1679280671

Alta Medical Clinic Inc of Arizona is a Behavioral Neurology & Neuropsychiatry Physician in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4742 N 24th St Ste 300
Phoenix, AZ 85016-9107
Phone: (909) 236-0338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X

Record details

NPI number1679280671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peterson Go — President · (909) 236-0338
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022
Mailing address4742 N 24th St Ste 300, Phoenix, AZ 85016-9107

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