ALEXANDER FACISTA

KOKOMO, IN
NPI1316394992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01081040A)
Enumeration Date2016-05-24
Last Update Date2018-11-21
Business Address
ALEXANDER FACISTA MD
1907 W SYCAMORE ST
KOKOMO, IN 46901-5148
Phone number: 765-456-5433
Mailing Address
ALEXANDER FACISTA MD
250 W 96TH ST # 520
INDIANAPOLIS, IN 46260-1316
Phone number: