Healthcare Provider Details
I. General information
NPI: 1144398256
Provider Name (Legal Business Name): ALEXANDER R. HOVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 BRANSON LANDING BLVD
BRANSON MO
65616-2052
US
IV. Provider business mailing address
PO BOX 9007
SPRINGFIELD MO
65808-9007
US
V. Phone/Fax
- Phone: 417-348-8080
- Fax: 417-334-3038
- Phone: 417-875-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | R9243 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: