Individual provider · Type 1 NPI

Alexis Brooke Mincer, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1982975454 Active

Practice location

9908 Roosevelt Blvd
Philadelphia, PA 19115

Call (215) 464-2902 Map

Fax (215) 464-2954

Mailing address

1390 Revelation Rd
Jenkintown, PA 19046-1022

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA056041 (PA)
Medical Physician Assistant Primary 363AM0700XOA006847 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1982975454

Alexis Brooke Mincer, PA-C's National Provider Identifier is 1982975454, issued on Jan 15, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 25, 2024.