Healthcare Provider Details

I. General information

NPI: 1992932206
Provider Name (Legal Business Name): ALEXANDER DE SOLER NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6345 E BELL RD STE 4
SCOTTSDALE AZ
85254-6451
US

IV. Provider business mailing address

9366 E PINE VALLEY RD
SCOTTSDALE AZ
85260-2843
US

V. Phone/Fax

Practice location:
  • Phone: 480-398-4000
  • Fax:
Mailing address:
  • Phone: 480-236-0974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number09-1121
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number09-1121
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: