Individual
DR. ALEX D JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 TAMARACK RD, NEWARK, OH 43055-1363
(740) 344-2452
(740) 344-7305
Mailing address
1970 TAMARACK RD, NEWARK, OH 43055-1363
(740) 344-2452
(740) 344-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35048932
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516990
—
OH
Enumeration date
10/05/2005
Last updated
10/21/2013
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