Individual
DR. ALEX E. MARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1448 FLORIDA AVE, MODESTO, CA 95350-4424
(209) 523-1884
(209) 522-6002
Mailing address
1448 FLORIDA AVE, MODESTO, CA 95350-4424
(209) 523-1884
(209) 522-6002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G71950
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR002100
—
CA
Enumeration date
09/22/2006
Last updated
03/09/2012
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