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NPI Code Detail

MEDICARE: ALEXANDER GREGORY FROST

MEDICARE:   ALEXANDER GREGORY FROST
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1134632987
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER GREGORY FROST
Provider Business Mailing Address
First Line : 2 BON AIR RD STE 120
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 BON AIR RD STE 120
Second Line :
City : LARKSPUR
State : CA
Zip : 94939-1142
Country : US
Telephone Number : 415-927-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2017
Last Update Date : 11/14/2017

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Directions to “ ALEXANDER GREGORY FROST ” Practice Location

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