Provider Demographics
NPI:1922392414
Name:MOORE, ALEXANDER DUNCAN (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:DUNCAN
Last Name:MOORE
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 1:4201 WESTOWN PKWY
Mailing Address - Street 2:STE 236
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6720
Mailing Address - Country:US
Mailing Address - Phone:515-401-1958
Mailing Address - Fax:515-401-1955
Practice Address - Street 1:4201 WESTOWN PKWY
Practice Address - Street 2:STE 236
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6720
Practice Address - Country:US
Practice Address - Phone:515-401-1950
Practice Address - Fax:515-401-1955
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262978207L00000X, 207LP3000X
TNMD56030207L00000X
TNMD0000056030207LP3000X
IAMD-49969207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology