Provider Demographics
NPI:1770229981
Name:ALSOBROOK, JOHN PERRY II (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PERRY
Last Name:ALSOBROOK
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 CORONADO RD
Mailing Address - Street 2:
Mailing Address - City:CORRALES
Mailing Address - State:NM
Mailing Address - Zip Code:87048-9540
Mailing Address - Country:US
Mailing Address - Phone:505-301-4195
Mailing Address - Fax:
Practice Address - Street 1:1551 EASTLAKE AVE E STE 200
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-7402
Practice Address - Country:US
Practice Address - Phone:206-693-2119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician