Individual
DR. ALEX JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0420008088
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00008385
BLUE CROSS/BLUE SHIELD
VT
05
—
0009787
—
VT
Enumeration date
01/25/2006
Last updated
08/20/2024
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