Provider Demographics
NPI:1114536943
Name:ALARCON GALAN, EILIER (MD, RDMS, RPT, RMA)
Entity Type:Individual
Prefix:
First Name:EILIER
Middle Name:
Last Name:ALARCON GALAN
Suffix:
Gender:M
Credentials:MD, RDMS, RPT, RMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12329 N 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-3349
Mailing Address - Country:US
Mailing Address - Phone:602-544-7772
Mailing Address - Fax:
Practice Address - Street 1:6114 N 59TH AVE STE 6
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-7770
Practice Address - Country:US
Practice Address - Phone:623-937-8643
Practice Address - Fax:623-934-1249
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ198878247100000X, 202K00000X, 2471S1302X, 2085U0001X
105453170100000X
AZ202010152365246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty
No202K00000XAllopathic & Osteopathic PhysiciansPhlebologyGroup - Single Specialty
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography