Most Relevant Information
Provider Data
| NPI Number: | 1003656174 |
| Provider Name: | ALEXANDRIA TAYSOM PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/28/2024 |
| Last Updated: | 05/28/2024 |
Provider Practice Location
5301 E GRANT RD
TUCSON
AZ
857122874
Practice Location Phone/Fax
| Phone: | 5203275461 |
| Fax: |
Provider Mailing Location
7813 S WALNUTVIEW DR
TUCSON
AZ
857570138
Provider Mailing Phone/Fax
| Phone: | 4804330935 |
| Fax: |