Individual
ALEXANDER JOSEPH CANIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 W 106TH ST, CARMEL, IN 46290-1004
(317) 575-0330
Mailing address
9290 E THOMPSON PEAK PKWY UNIT 489, SCOTTSDALE, AZ 85255-4519
(602) 377-2504
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
01089718A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01089718A
INDIANA LICENSE NUMBER
IN
01
—
01089718B
IN-CSR
IN
Enumeration date
03/27/2018
Last updated
07/10/2023
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