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NPI Code Detail

MEDICARE: ALEXIS GEORGALLIDES MD

MEDICARE: ALEXIS GEORGALLIDES MD
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
1207P00000XEmergency Medicine Physician22070NV

General Provider Information

NPI Number : 1164085270
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS GEORGALLIDES MD
Provider Business Mailing Address
First Line : 118 E HASKELL ST
Second Line :
City : WINNEMUCCA
State : NV
Zip : 89445-3247
Country : US
Telephone Number : 775-623-5222
Fax Number :
Provider Business Practice Location Address
First Line : 625 INNOVATION DR
Second Line :
City : RENO
State : NV
Zip : 89511-2215
Country : US
Telephone Number : 775-799-7320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2019
Last Update Date : 03/04/2026

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Directions to “ ALEXIS GEORGALLIDES MD” Practice Location

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