Provider Demographics
NPI:1982744371
Name:ALEXANDER, BILL DUANE (MD)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:DUANE
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 1:3720 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1510
Mailing Address - Country:US
Mailing Address - Phone:619-433-4123
Mailing Address - Fax:
Practice Address - Street 1:3720 LINDA LN
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1510
Practice Address - Country:US
Practice Address - Phone:619-433-4123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ47691207L00000X
CAA 127174207L00000X
NC2013-02009207L00000X
PAMD437806207L00000X
VA0101255233207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology