Individual
MR. ALEXANDER MONGEOT FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0048
Mailing address
22720 RALSTON LN, WAYNESVILLE, MO 65583-2599
(714) 655-3133
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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