Individual
DR. ALANNA M REBECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
32883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080015085259C440
TRIWEST
AZ
05
—
869927
—
AZ
01
—
P00289563
RAILROAD MEDICARE
AZ
Enumeration date
12/08/2005
Last updated
09/08/2020
Update your record
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