MEDICARE: ALEXANDER GERMANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1245070648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER GERMANY

Provider Business Mailing Address
First Line	:	270 W WISTERIA PL
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-4026
Country	:	US
Telephone Number	:	216-577-7103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1641 E MONROE ST UNIT A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-1218
Country	:	US
Telephone Number	:	216-577-7103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	05/31/2024

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Directions to “ ALEXANDER GERMANY ” Practice Location

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