Individual
ALEXIS BROOKE MINCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9908 ROOSEVELT BLVD, PHILADELPHIA, PA 19115
(215) 464-2902
(215) 464-2954
Mailing address
1390 REVELATION RD, JENKINTOWN, PA 19046-1022
(610) 203-3387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA056041
PA
363AM0700X
Medical Physician Assistant
Primary
OA006847
PA
Other
Enumeration date
01/15/2012
Last updated
07/25/2024
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