Individual
ALEXANDRA A. EISENBEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI RM 1S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
HELIX: 30 N MARIO CAPECCHI RM 1S100, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13509706-1205
UT
207R00000X
Internal Medicine Physician
MRM-2129
ID
Other
Enumeration date
03/28/2022
Last updated
08/14/2023
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