Individual
DR. GRACE ALESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35589
CO
207R00000X
Internal Medicine Physician
Primary
35589
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355890
—
CO
05
—
118112200
—
WY
01
—
P00944656
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
07/03/2006
Last updated
09/01/2011
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