Provider Demographics
NPI:1699890616
Name:GUZMAN, ALFREDO (MD)
Entity type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 BOSWELL DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-2213
Mailing Address - Country:US
Mailing Address - Phone:334-718-0862
Mailing Address - Fax:256-832-4153
Practice Address - Street 1:96 ALI WAY
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1835
Practice Address - Country:US
Practice Address - Phone:256-832-4141
Practice Address - Fax:256-832-4153
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12483207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine