Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 6403 | AK |
N | 207RP1001X | Pulmonary Disease | 6403 | AK |
NPI | 1033146709 |
---|---|
Provider Name | Alexis Leandro Delgado |
First Address | Anchorage, AK 99503-5925 |
Second Address | Anchorage, AK 99503-5925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 16/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD2318 | (05) | AK |