Provider Demographics
NPI:1063668101
Name:FEUCHTER, ALEXANDER CLYDE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:CLYDE
Last Name:FEUCHTER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1100 CENTRAL AVE SE
Mailing Address - Street 2:PMG ER
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4930
Mailing Address - Country:US
Mailing Address - Phone:505-841-1125
Mailing Address - Fax:505-841-1737
Practice Address - Street 1:1100 CENTRAL AVE SE
Practice Address - Street 2:PMG ER
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4930
Practice Address - Country:US
Practice Address - Phone:505-841-1125
Practice Address - Fax:505-841-1737
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT192581207P00000X
NMMD2011-0175207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine