Individual provider · NPI-1
Dr. Rex Martin Alvord Jr., MD
Family Medicine, Addiction Medicine · Tacoma, WA
NPI number1104958693
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104958693
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rex Martin Alvord Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | MD00035185 | WA | Yes |
Practice location
2201 S 19th StTacoma, WA 98405-2962
Phone 253-272-3056
Mailing address
711 N Carr StTacoma, WA 98403-3012
Phone 253-222-2172
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