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Alexandra Black

Podiatrist, Foot & Ankle Surgery in Palm Desert, CA. Individual provider (NPI-1).

NPI number1669978664
StatusActive
Last updated in NPPESDec 11, 2024

Details

NPI
1669978664
Entity type
Individual (NPI-1)
Name
Alexandra Black
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 30, 2018
Certification date
Dec 11, 2024
Last updated
Dec 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryE5982CAYes

Practice location

41990 Cook St Bldg F
Palm Desert, CA 92211-6100

Phone 760-565-5545

Mailing address

41990 Cook St
Palm Desert, CA 92211-6100

Phone 760-565-5545

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Other Foot & Ankle Surgery Podiatrist providers in Palm Desert, CA

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