Individual
IAN J ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34910 INTERSTATE 10 W 3, BOERNE, TX 78006-9229
(210) 202-0250
(505) 661-0075
Mailing address
1190 SPRING CREEK PL E1, SPRINGVILLE, UT 84663-6002
(505) 697-9095
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD2009-0464
NM
207Y00000X
Otolaryngology Physician
MT184869
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88605761
—
NM
Enumeration date
06/03/2008
Last updated
08/03/2015
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