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Individual

JOHN R ALESSI

Active
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Individual

JOHN R ALESSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007784
AZ
207Q00000X
Family Medicine Physician
02001677A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000990240
ANTHEM PIN
IN
05
—
200062550A
—
IN
05
—
448808
—
AZ
01
—
CC3757
RAILROAD MEDICARE
—
01
—
Z255368
MEDICARE
AZ
Enumeration date
07/21/2006
Last updated
01/31/2025
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