Provider Demographics
NPI:1952580524
Name:ALEXANDER, THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:ALEXANDER
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 1:7950 E ACOMA DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6962
Mailing Address - Country:US
Mailing Address - Phone:480-998-3551
Mailing Address - Fax:480-998-2446
Practice Address - Street 1:7950 E ACOMA DR
Practice Address - Street 2:SUITE 202
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6962
Practice Address - Country:US
Practice Address - Phone:480-998-3551
Practice Address - Fax:480-998-2446
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMD 37071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine