Healthcare Provider Details

I. General information

NPI: 1568921609
Provider Name (Legal Business Name): ALEXANDER JOSEPH FIFE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 NE 10TH STREET OKCC 5050
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

800 NE 10TH STREET OKCC 5050
OKLAHOMA CITY OK
73104
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-4321
  • Fax:
Mailing address:
  • Phone: 405-271-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number44971
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: