Provider Demographics
NPI:1023289246
Name:ROBERT W ALEXANDER MD PLLC
Entity type:Organization
Organization Name:ROBERT W ALEXANDER MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-777-4477
Mailing Address - Street 1:715 MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-2846
Mailing Address - Country:US
Mailing Address - Phone:406-777-4477
Mailing Address - Fax:866-766-5458
Practice Address - Street 1:715 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-2846
Practice Address - Country:US
Practice Address - Phone:406-777-4477
Practice Address - Fax:866-766-5458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT13021261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty