Provider Demographics
NPI:1871879692
Name:D'ALESSANDRO, ANDREW DOMINIC (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DOMINIC
Last Name:D'ALESSANDRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2635 N 7TH ST # 85102
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8209
Mailing Address - Country:US
Mailing Address - Phone:970-298-1977
Mailing Address - Fax:970-298-2898
Practice Address - Street 1:2635 N 7TH ST # 85102
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8209
Practice Address - Country:US
Practice Address - Phone:970-298-1977
Practice Address - Fax:970-298-2898
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
CO0064581207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No171M00000XOther Service ProvidersCase Manager/Care Coordinator