Individual
DR. REZA POUR ALIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
(651) 690-0866
Mailing address
33 HAMLINE AVE S, SAINT PAUL, MN 55105-2231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03221
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4C482AL
CLINIC BCBS
MN
01
—
4C483AL
BCBS
MN
Enumeration date
01/23/2007
Last updated
07/08/2007
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