Alexandra Danae Rhodes, | |
247 Professional Way, Shelton, WA 98584 | |
(360) 426-3102 | |
Not Available |
Full Name | Alexandra Danae Rhodes |
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Gender | Female |
Speciality | Pediatrics |
Location | 247 Professional Way, Shelton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710301296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD60954444 (Washington) | Primary |
Entity Name | Public Hospital District No 1 Of Mason County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481 |
Mailing Address | Practice Location Address |
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Alexandra Danae Rhodes, 733 Rutland Av, The Johns Hopkins School Of Medicine, Baltimore, MD 21205-2109 Ph: () - | Alexandra Danae Rhodes, 247 Professional Way, Shelton, WA 98584 Ph: (360) 426-3102 |
Dr. Ezekiel Derek Alexander Melquist, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 Fax: 888-985-0681 | |
Dr. Jewel Park, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 | |
Roseann Rayos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 |