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Individual

MR. ALEXIS GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SFIDC

Contact information

Practice address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(619) 556-4627
Mailing address
550 POPE AVE, FORT LEAVENWORTH, KS 66027-2332

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/04/2021
Last updated
04/11/2026
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