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Individual

DR. ALONSO ESCALANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E3688
LA
207X00000X
Orthopaedic Surgery Physician
DR-45964
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126165301
TX
01
841522905
BCBS
CO
05
93683758
CO
Enumeration date
07/05/2006
Last updated
02/04/2014
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