Provider Demographics
NPI:1396947487
Name:ALEXANDER P. CADOUX, M.D.,P.A.
Entity type:Organization
Organization Name:ALEXANDER P. CADOUX, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:P
Authorized Official - Last Name:CADOUX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-529-9665
Mailing Address - Street 1:4320 N CAMPBELL AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5473
Mailing Address - Country:US
Mailing Address - Phone:520-529-9665
Mailing Address - Fax:520-529-9669
Practice Address - Street 1:4320 N CAMPBELL AVE
Practice Address - Street 2:STE. 230
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6584
Practice Address - Country:US
Practice Address - Phone:520-529-9665
Practice Address - Fax:520-529-9669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27029208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD95950Medicare UPIN
AZZ22982Medicare ID - Type Unspecified