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Individual

JOSE A ALICEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2559 MEDICAL DR STE 3100, ALAMOGORDO, NM 88310-8703
(575) 446-5700
(888) 987-7176
Mailing address
2559 MEDICAL DR STE 3100, ALAMOGORDO, NM 88310-8703
(575) 446-5700
(888) 987-7176

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
46783
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
97-2
NM
207X00000X
Orthopaedic Surgery Physician
J6846
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
46783
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124214102
TX
05
779513
AZ
05
96026359
NM
Enumeration date
01/18/2006
Last updated
08/09/2023
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