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MR. ANTHONY LEE ALEXANDER PA-C

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316900269

Individual Registrant:
MR. ANTHONY LEE ALEXANDER PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
96 MEDICAL GROUP, EGLIN AFB 307 BOATNER ROAD, SUITE 114 EGLIN AFB, FL 32542 US
Tel: 850-883-8345  Fax: --

Contact information for business:
PO BOX 30532  PENSACOLA, FL 32503-1532 US
Tel: --  Fax: --

Registration Information:
NPI: 1316900269
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
FLPA9104664

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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