Provider Demographics
NPI:1437225927
Name:PORTNEY, ALEXANDER LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:LEON
Last Name:PORTNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 S DURANGO DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-2423
Mailing Address - Country:US
Mailing Address - Phone:702-240-0874
Mailing Address - Fax:702-240-3627
Practice Address - Street 1:810 S DURANGO DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-2423
Practice Address - Country:US
Practice Address - Phone:702-240-0874
Practice Address - Fax:702-240-3627
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2010-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV9534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine