Individual
DR. ALEXANDER DOMINIC JOBRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O, MPH
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
(530) 634-4662
Mailing address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1905
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
1591
NE
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
1591
NE
Other
Enumeration date
06/01/2015
Last updated
08/29/2022
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