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NPI Code Detail

MEDICARE: ALEXANDRA O'ROURKE

MEDICARE:   ALEXANDRA  O'ROURKE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1306673090
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA O'ROURKE
Provider Business Mailing Address
First Line : 3300 S KENTON ST UNIT 5307
Second Line :
City : DENVER
State : CO
Zip : 80014-4918
Country : US
Telephone Number : 505-730-4993
Fax Number :
Provider Business Practice Location Address
First Line : 3300 S KENTON ST UNIT 5307
Second Line :
City : DENVER
State : CO
Zip : 80014-4918
Country : US
Telephone Number : 505-730-4993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2024
Last Update Date : 09/17/2024

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Directions to “ ALEXANDRA O'ROURKE ” Practice Location

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