Alexander J. Alexander, MD
Internal Medicine in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1790362192
StatusActive
Last updated in NPPESAug 8, 2022
Details
- NPI
- 1790362192
- Entity type
- Individual (NPI-1)
- Name
- Alexander J. Alexander
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2021
- Certification date
- Aug 8, 2022
- Last updated
- Aug 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 12970419-1205 | UT | Yes |
| 208000000X | Pediatrics | 12970419-1205 | UT |
Practice location
81 N Mario Capecchi DrSalt Lake City, UT 84113-1125
Phone 801-581-7818
Mailing address
81 N Mario Capecchi DrSalt Lake City, UT 84113-1125
Phone 801-581-7818
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