Individual
JOHN R ALESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6648 N VIEWPOINT DR STE 5, PRESCOTT VALLEY, AZ 86315-4942
(928) 636-5680
(928) 636-5853
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007784
AZ
207Q00000X
Family Medicine Physician
02001677A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000990240
ANTHEM PIN
IN
05
—
200062550A
—
IN
05
—
448808
—
AZ
01
—
CC3757
RAILROAD MEDICARE
—
01
—
Z255368
MEDICARE
AZ
Enumeration date
07/21/2006
Last updated
01/31/2025
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