MEDICARE: DR. MARY OLIVIA ALEXANDER MD

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	207Q00000X	Family Medicine Physician	196-T2	WY
2	207Q00000X	Family Medicine Physician	MD30361	ME
3	207Q00000X	Family Medicine Physician	DR.73265	CO

General Provider Information

NPI Number	:	1487220125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY OLIVIA ALEXANDER MD

Provider Business Mailing Address
First Line	:	9137 RIDGELINE BLVD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2397
Country	:	US
Telephone Number	:	303-649-3140
Fax Number	:

Provider Business Practice Location Address
First Line	:	9137 RIDGELINE BLVD STE 100
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80129-2397
Country	:	US
Telephone Number	:	303-649-3140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	03/23/2026

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