person
Alexandra Black
Foot & Ankle Surgery Podiatrist in Palm Desert, California
NPI 1669978664

Alexandra Black is a Foot & Ankle Surgery Podiatrist based in Palm Desert, CA and is specialized in Foot & Ankle Surgery. Alexandra Black practices in Palm Desert, CA. The NPI Number for Alexandra Black is 1669978664 and holds a License No. E5982 (California).

The current practice location address for Alexandra Black is 41990 Cook St Bldg F, Palm Desert, CA and can be reached out via phone at 760-565-5545.

Location: 41990 Cook St Bldg F, Palm Desert, CA, 92211-6100
person
Provider Profile Details
NPI Number
1669978664
Provider Name
Alexandra Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
41990 Cook St Bldg F, Palm Desert, CA, 92211-6100
Phone Number
760-565-5545
Fax Number
Provider Enumeration Date
03/30/2018
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0444104 05 OH
institution
Provider Business Practice Location Address Details
Address
41990 Cook St Bldg F
City
State
Zip
92211-6100
Phone Number
760-565-5545
Fax Number
person
Provider Business Mailing Address Details
Address
41990 Cook St Bldg F
City
State
Zip
92211-6100
Phone Number
760-565-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E5982 (California)
Definition
Definition to come...
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