Alexander P Ierokomos
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery Oral & Maxillofacial Surgeon
500 W Hospital Rd
French Camp
, California 95231-9693
Alexander P Ierokomos
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery Oral & Maxillofacial Surgeon
500 W Hospital Rd
French Camp
, California 95231-9693
(209) 468-7042
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
- Otolaryngologist (ENT Doctor)
- Plastic Surgeon (Head & Neck)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Alexander P Ierokomos
- Po Box 1020
- Stockton, CA
- Zip : 95201-3120
- Fax : (209) 468-7042
- Phone : (209) 468-6000
Second Address
- Alexander P Ierokomos
- 500 W Hospital Rd
- French Camp, CA
- Zip : 95231-9693
- Fax : (209) 468-7042
- Phone : (209) 468-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | MD00022010 | WA |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G41004 | CA |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD00022010 | WA |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00022010 | WA |
National Provider Identifier
| NPI | 1528009990 |
|---|---|
| Provider Name | Alexander P Ierokomos |
| First Address | Stockton, CA 95201-3120 |
| Second Address | French Camp, CA 95231-9693 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2006 |
| Last Update Date | 03/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0060170 | LABOR AND INDUSTRIES (01) | WA |
| 1379502 | (05) | WA |
| 1528009990 | (05) | CA |
| A08191 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.