Coralyn J Alexander MD PA

NPI #1922282821 in Twin Falls, Idaho

Provider Information

NPI Number: 1922282821
Entity Type: Organization
Organization Name: Coralyn J Alexander MD PA
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Dec 27, 2007
Last Updated: Aug 23, 2010

Practice Location

Address: 488 BLUE LAKES BLVD N
Address 2: STE 102
City: Twin Falls
State: Idaho
ZIP Code: 83301-4800
Phone: (208) 734-3900

Authorized Official

Name: CORALYN ALEXANDER, MD
Title: OWNER
Phone: (208) 734-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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