Individual
ALEXANDER GLEN RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M,D.
Contact information
Practice address
9399 RIDGETOP BLVD NW, SUITE A, SILVERDALE, WA 98383
(360) 337-2015
(360) 516-6324
Mailing address
9399 RIDGETOP BLVD NW, SUITE A, SILVERDALE, WA 98383
(360) 337-2015
(360) 516-6324
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00026496
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180006663
RAILROAD MEDICARE
—
01
—
5728034
AETNA
—
01
—
75446
LABOR & INDUSTRIES
WA
05
—
8113573
—
WA
01
—
8931224
CRIME VICTIMS COMP
WA
01
—
RI6599
REGENCE BLUESHIELD
—
Enumeration date
06/12/2006
Last updated
03/07/2023
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