Individual
ALEXANDRA ANN CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509-4004
(925) 779-5000
Mailing address
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509-4004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A21118
CA
Other
Enumeration date
04/25/2020
Last updated
08/18/2023
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