Provider Demographics
NPI:1215039086
Name:BRIONES, ALICE JEAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:JEAN
Last Name:BRIONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-4618
Mailing Address - Country:US
Mailing Address - Phone:202-391-6159
Mailing Address - Fax:
Practice Address - Street 1:115 PURPLE HEART AVE
Practice Address - Street 2:
Practice Address - City:DOVER AFB
Practice Address - State:DE
Practice Address - Zip Code:19902-5051
Practice Address - Country:US
Practice Address - Phone:302-346-8649
Practice Address - Fax:302-346-8819
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.012553207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology