Provider Demographics
NPI:1457616740
Name:GREGORY, ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:GREGORY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 ERLTON RD SW
Mailing Address - Street 2:SUITE 409
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T2S 3B9
Mailing Address - Country:CA
Mailing Address - Phone:403-969-6553
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF ANESTHESIA ROOM C229, FOOTHILLS MEDICAL C
Practice Address - Street 2:1403- 29 ST NW
Practice Address - City:CALGARY
Practice Address - State:ALBERTA
Practice Address - Zip Code:T2N 2T9
Practice Address - Country:CA
Practice Address - Phone:403-944-1430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ021732207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology