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General NPI Number Information
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NPI Number | 1003807702
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Entity Type | Individual
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Provider Name | JOANN ALEXANIAN MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11315 BRIDGEPORT WAY SW ST CLARE HOSPITAL
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City | LAKEWOOD
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State | WA
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Zip | 98499-3004
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Country | US
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Telephone | 253-581-6403
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Fax | 253-584-6544
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Provider Business Mailing Address
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Address Line | PO BOX 11626
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City | TACOMA
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State | WA
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Zip | 98411-6626
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Country | US
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Telephone | 253-565-9765
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Fax | 253-584-6544
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD00026518
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License Number State | WA
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