Individual provider · Type 1 NPI

Alexandra Blue Sanroma, PA-C

Medical Physician Assistant · Little Rock, AR

NPI number 1497128722 Active

Practice location

500 S University Ave, Little Rock Dermatology Clinic Suite 301
Little Rock, AR 72205-5302

Call (501) 664-4161 Map

Fax (501) 664-6108

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XP-T1551 (AR)

Medical Physician Assistant: Definition to come...

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About NPI 1497128722

Alexandra Blue Sanroma, PA-C's National Provider Identifier is 1497128722, issued on Nov 9, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Little Rock, AR. The record was last updated on Oct 20, 2022.