Healthcare Provider Details

I. General information

NPI: 1376506683
Provider Name (Legal Business Name): SCOTT F ALEXANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2006
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W THOMAS RD STE 102
PHOENIX AZ
85013-4419
US

IV. Provider business mailing address

PO BOX 36680
PHOENIX AZ
85067-6680
US

V. Phone/Fax

Practice location:
  • Phone: 602-285-9550
  • Fax: 602-234-3748
Mailing address:
  • Phone: 602-285-9550
  • Fax: 602-234-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number16316
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: