MEDICARE: ROBERT W ALEXANDER MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	13021	MT

General Provider Information

NPI Number	:	1023289246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT W ALEXANDER MD PLLC

Provider Business Mailing Address
First Line	:	715 MAIN ST
Second Line	:	SUITE B
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-2846
Country	:	US
Telephone Number	:	406-777-4477
Fax Number	:	866-766-5458

Provider Business Practice Location Address
First Line	:	715 MAIN ST
Second Line	:	SUITE B
City	:	STEVENSVILLE
State	:	MT
Zip	:	59870-2846
Country	:	US
Telephone Number	:	406-777-4477
Fax Number	:	866-766-5458

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ROBERT W ALEXANDER
Credential	:	M.D.
Telephone Number	:	406-777-4477

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/14/2008

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