MEDICARE: GEORGE J. ALEXANDER M.D., F.A.C.S.

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	174400000X	Specialist	7177	NV

General Provider Information

NPI Number	:	1851430946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE J. ALEXANDER M.D., F.A.C.S.

Provider Business Mailing Address
First Line	:	1725 VILLAGE CENTER CIR
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6303
Country	:	US
Telephone Number	:	702-242-6776
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 VILLAGE CENTER CIR
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6303
Country	:	US
Telephone Number	:	702-242-6776
Fax Number	:

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	07/08/2007

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