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Individual

JOHN C ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
830 MARKET ST, MEADVILLE, PA 16335-3314
(814) 724-2700
(814) 724-2705
Mailing address
426 EDGEWOOD DR, MEADVILLE, PA 16335-1317
(814) 724-2700
(814) 724-2705

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000490
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005458230001
PA
Enumeration date
04/14/2006
Last updated
07/27/2017
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