Alexander Etu

NPI 1972261196 · on the registry since 2021 · sole proprietor

Practice

Address: 3207 S 73rd Dr
Phoenix, AZ 85043
Phone: (623) 238-9777
Organisation at this address: Devoted Care Llc
Devoted Care Llc
Devoted Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 163WG0000X
163WG0000X
Also registered as: 163WH0200X
163WP0809X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona