Healthcare Provider Details

I. General information

NPI: 1154883742
Provider Name (Legal Business Name): ALEXANDER REESE NORTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 08/03/2025
Certification Date: 08/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE NM
87151-2702
US

IV. Provider business mailing address

100 DEPUTY DEAN MIERA DR SW
ALBUQUERQUE NM
87151-1000
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-3303
  • Fax:
Mailing address:
  • Phone: 505-272-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2022-0150
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: