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DR. ALEXANDER ALCANTRA VILLARASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1180 N INDIAN CANYON DR, SUITE W400, PALM SPRINGS, CA 92262-4800
(760) 416-5010
(760) 416-5001
Mailing address
1180 N INDIAN CANYON DR, SUITE W400, PALM SPRINGS, CA 92262-4800
(760) 416-5010
(760) 416-5001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A34432
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A344320
CA
Enumeration date
08/13/2009
Last updated
08/13/2009
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