Individual provider · Type 1 NPI
Alexandra Diane Parris, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1124368519
Active
Practice location
3400 Civic Center Blvd, Pcam 4 South
Philadelphia, PA 19104-5127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | OA003009 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | MA056014 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1124368519
Alexandra Diane Parris, PA-C's National Provider Identifier is 1124368519, issued on Feb 21, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 26, 2019.