MEDICARE: ALEX B NAJERA MD PS

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1154671212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEX B NAJERA MD PS

Provider Business Mailing Address
First Line	:	1620 N ROAD 44
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-2667
Country	:	US
Telephone Number	:	509-544-2156
Fax Number	:	509-544-2158

Provider Business Practice Location Address
First Line	:	1620 N ROAD 44
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99301-2667
Country	:	US
Telephone Number	:	509-544-2156
Fax Number	:	509-544-2158

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALEX B NAJERA
Credential	:	M.D.
Telephone Number	:	509-544-2156

Provider Enumeration Date	:	09/17/2012
Last Update Date	:	09/17/2012

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