MEDICARE: ALEXANDRA CECIL STYHL 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
1	207R00000X	Internal Medicine Physician	MD61586728	WA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1689254500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA CECIL STYHL MD

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	3236 78TH AVE SE STE 200
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-3500
Country	:	US
Telephone Number	:	206-275-5060
Fax Number	:	206-275-5061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2021
Last Update Date	:	12/06/2025

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