Individual
ALEXANDER TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-4940
Mailing address
15671 EDEN ST, WESTMINSTER, CA 92683-6828
(714) 727-8895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1639811425
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
07/08/2024
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