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Mrs. Alexandra Blue Sanroma, PA-C
Medical Physician Assistant in Little Rock, Arkansas
NPI 1497128722

Alexandra Blue Sanroma is a Medical Physician Assistant based in Little Rock, AR and is specialized in Medical. Alexandra Blue Sanroma practices in Little Rock, AR and has the professional credentials of PA-C. The NPI Number for Alexandra Blue Sanroma is 1497128722 and holds a License No. P-T1551 (Arkansas).

The current practice location address for Alexandra Blue Sanroma is 500 S University Ave, Little Rock, AR and can be reached out via phone at 501-664-4161 and via fax at 501-664-6108.

Location: 500 S University Ave, Little Rock, AR, 72205-5302
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Provider Profile Details
NPI Number
1497128722
Provider Name
Alexandra Blue Sanroma
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
500 S University Ave, Little Rock, AR, 72205-5302
Phone Number
501-664-4161
Fax Number
501-664-6108
Provider Enumeration Date
11/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P-T1551 01 AR STATE
institution
Provider Business Practice Location Address Details
Address
500 S University Ave
City
State
Zip
72205-5302
Phone Number
501-664-4161
Fax Number
501-664-6108
person
Provider Business Mailing Address Details
Address
500 S University Ave
City
State
Zip
72205-5302
Phone Number
501-664-4161
Fax Number
501-664-6108
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
P-T1551 (Arkansas)
Definition
Definition to come...
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