Individual
RYAN THOMAS ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
Mailing address
9465 E OLLA AVE, MESA, AZ 85212-1415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9153
AZ
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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