Individual
DR. ALEXANDER TARPOFF II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3674 ST RTE 111, PONTOON BEACH, IL 62040-0397
(618) 797-1242
(618) 931-0530
Mailing address
PO BOX 397, GRANITE CITY, IL 62040-0397
(618) 797-1242
(618) 931-0530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005772
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6045740
BCBS IL
IL
Enumeration date
09/16/2006
Last updated
05/27/2008
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