Individual
DR. ALEXANDER PAUL IEZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 CONCOURSE BLVD STE 1, SANTA ROSA, CA 95403-8210
(707) 544-3400
(707) 544-0137
Mailing address
950 ALICE LN APT #3, MENLO PARK, CA 94025
(650) 248-5443
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A92670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A92670
—
CA
Enumeration date
03/26/2007
Last updated
06/30/2020
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