Healthcare Provider Details

I. General information

NPI: 1972573962
Provider Name (Legal Business Name): PETER A ALEXANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 N PARHAM RD
RICHMOND VA
23229-4605
US

IV. Provider business mailing address

1651 N PARHAM RD
RICHMOND VA
23229-4605
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-8248
  • Fax: 804-282-6223
Mailing address:
  • Phone: 804-288-8248
  • Fax: 804-282-6223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101232304
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: