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ALEXANDER P IEROKOMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6000
(209) 468-7042
Mailing address
PO BOX 1020, STOCKTON, CA 95201-3120
(209) 468-6000
(209) 468-7042

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD00022010
WA
207Y00000X
Otolaryngology Physician
Primary
G41004
CA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
MD00022010
WA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD00022010
WA
207YX0602X
Otolaryngic Allergy Physician
MD00022010
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD00022010
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060170
LABOR AND INDUSTRIES
WA
05
1379502
WA
05
1528009990
CA
Enumeration date
06/09/2006
Last updated
05/03/2013
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