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NPI Code Detail

MEDICARE: ROBERT J ALAIMO JR. DO

MEDICARE: ROBERT J ALAIMO JR. DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDO16458OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033192273
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT J ALAIMO JR. DO
Provider Business Mailing Address
First Line : PO BOX 1520
Second Line :
City : THE DALLES
State : OR
Zip : 97058-1004
Country : US
Telephone Number : 541-296-7668
Fax Number : 541-296-6431
Provider Business Practice Location Address
First Line : 1620 E 12TH ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3213
Country : US
Telephone Number : 541-296-9151
Fax Number : 541-296-9156
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 11/07/2014

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