Individual
MR. ALEX IELASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
8235 OHIO RIVER BLVD, PITTSBURGH, PA 15202-1454
(412) 761-0136
Mailing address
8235 OHIO RIVER BLVD, PITTSBURGH, PA 15202-1454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
25455564
PA
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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