Healthcare Provider Details

I. General information

NPI: 1023289246
Provider Name (Legal Business Name): ROBERT W ALEXANDER MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2008
Last Update Date: 03/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 MAIN ST SUITE B
STEVENSVILLE MT
59870-2846
US

IV. Provider business mailing address

715 MAIN ST SUITE B
STEVENSVILLE MT
59870-2846
US

V. Phone/Fax

Practice location:
  • Phone: 406-777-4477
  • Fax: 866-766-5458
Mailing address:
  • Phone: 406-777-4477
  • Fax: 866-766-5458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number13021
License Number StateMT

VIII. Authorized Official

Name: DR. ROBERT W ALEXANDER
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 406-777-4477