Provider Demographics
NPI:1417339839
Name:SKOPEC, ALEXANDER MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:MARTIN
Last Name:SKOPEC
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Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8131
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-7200
Mailing Address - Fax:314-747-4189
Practice Address - Street 1:10 HOSPITAL DR
Practice Address - Street 2:DEPT RADIOLOGY
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1659
Practice Address - Country:US
Practice Address - Phone:636-916-9000
Practice Address - Fax:314-747-4189
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2021-11-15
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Provider Licenses
StateLicense IDTaxonomies
MO20210183382085R0202X
IL0361520042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology