Individual
ALEXIS WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R10912
IA
207W00000X
Ophthalmology Physician
Primary
036.155464
IL
207W00000X
Ophthalmology Physician
R10912
IA
Other
Enumeration date
06/06/2017
Last updated
09/12/2024
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