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NPI Code Detail

MEDICARE: JOHN W. ALCHEMY MD

MEDICARE: JOHN W. ALCHEMY 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
1207Q00000XFamily Medicine PhysicianA55085CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659443307
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W. ALCHEMY MD
Provider Business Mailing Address
First Line : 5108 MIDDLEBROOK CT
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-1959
Country : US
Telephone Number : 707-569-1571
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N DUTTON AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4607
Country : US
Telephone Number : 707-543-8360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/08/2007

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