ALEXA BLAIRE GRAND

ROGERS, AR
NPI1093228520
Former NameALEXA BLAIRE VESSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PA-922)
Enumeration Date2017-11-06
Last Update Date2020-08-28
Business Address
ALEXA BLAIRE GRAND PA-C
500 S 52ND ST
ROGERS, AR 72758-8600
Phone number: 479-254-9662
Mailing Address
ALEXA BLAIRE GRAND PA-C
500 S 52ND ST
ROGERS, AR 72758-8600
Phone number: 479-254-9662
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