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Organization
CORALYN J ALEXANDER MD PA
Active
Organization
CORALYN J ALEXANDER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORALYN ALEXANDER MD (OWNER)
(208) 734-3900
Entity
Organization
Contact information
Practice address
488 BLUE LAKES BLVD N, STE 102, TWIN FALLS, ID 83301-4800
(208) 734-3900
(208) 734-9441
Mailing address
PO BOX 2103, TWIN FALLS, ID 83303-2103
(208) 734-3900
(208) 734-9441
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
M6940
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP662
ID
Other
Enumeration date
12/27/2007
Last updated
08/23/2010
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