Individual
ALEXANDRA KATHLEEN SUPERDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 609-9349
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(918) 664-2467
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
63803
TN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
63803
TN
Other
Enumeration date
04/30/2018
Last updated
07/22/2023
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