James Arun Alex, MBBS,CSFA
Physician Assistant, Surgical in Peoria, IL. Individual provider (NPI-1).
NPI number1841690096
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1841690096
- Entity type
- Individual (NPI-1)
- Name
- James Arun Alex
- Credential
- MBBS,CSFA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2014
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | – | – | |
| 246ZX2200X | Specialist/Technologist, Other, Orthopedic Assistant | – | – |
Practice location
7620 N University St Ste 104Peoria, IL 61614-8300
Phone 309-691-7774
Mailing address
315 E Pine AveWest Lafayette, IN 47906-4885
Phone 615-207-4674
Other practice locations
8450 Northwest Blvd
Indianapolis, IN 46278-1381
Indianapolis, IN 46278-1381
Phone 317-802-2000 · Fax 317-802-2170
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