Provider Demographics
NPI:1740791052
Name:PFEIFFER, ALISSIA MARGUERITE (NMD)
Entity Type:Individual
Prefix:DR
First Name:ALISSIA
Middle Name:MARGUERITE
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10249 E CELTIC DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-7254
Mailing Address - Country:US
Mailing Address - Phone:480-235-9619
Mailing Address - Fax:833-292-6388
Practice Address - Street 1:9700 N 91ST ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5054
Practice Address - Country:US
Practice Address - Phone:480-382-6295
Practice Address - Fax:833-292-6288
Is Sole Proprietor?:No
Enumeration Date:2017-10-13
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ171667175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ17-1667OtherNATUROPATHIC MEDICAL BOARD