Healthcare Provider Details

I. General information

NPI: 1114840030
Provider Name (Legal Business Name): ALEXANDER MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 S VAL VISTA DR STE 131
GILBERT AZ
85295-2155
US

IV. Provider business mailing address

2680 S VAL VISTA DR STE 131
GILBERT AZ
85295-2155
US

V. Phone/Fax

Practice location:
  • Phone: 480-299-0589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT THOMAS ALEXANDER
Title or Position: OWNER/NP
Credential:
Phone: 480-299-0589