Individual provider · NPI-1
Alexis Alexander
Perfusionist · Plymouth, MI
NPI number1720627722
StatusActive
Last updated in NPPESDec 23, 2019
Details
- NPI
- 1720627722
- Entity type
- Individual (NPI-1)
- Name
- Alexis Alexander
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2019
- Certification date
- Dec 23, 2019
- Last updated
- Dec 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 242T00000X | Perfusionist | – | – | Yes |
Practice location
45211 Helm StPlymouth, MI 48170-6023
Phone 734-525-9712
Mailing address
5801 S Mcclintock Dr Ste 110Tempe, AZ 85283-6002
Phone 480-777-0607
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