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NPI Code Detail

MEDICARE: BURTON F ALEXANDER III MD

MEDICARE: BURTON F ALEXANDER III 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
1174400000XSpecialist0101055171VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110951OTHERVAOPTIMA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841293966
Entity Type Code : Individual
Provider Name (Legal Business Name) : BURTON F ALEXANDER III MD
Provider Business Mailing Address
First Line : 5900 LAKE WRIGHT DR
Second Line : SUITE 300
City : NORFOLK
State : VA
Zip : 23502-1871
Country : US
Telephone Number : 757-213-5700
Fax Number : 757-213-5701
Provider Business Practice Location Address
First Line : 5900 LAKE WRIGHT DR
Second Line :
City : NORFOLK
State : VA
Zip : 23502-1871
Country : US
Telephone Number : 757-466-8683
Fax Number : 757-466-8892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 04/26/2011

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Directions to “ BURTON F ALEXANDER III MD” Practice Location

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