Organization
DR ALEXANDER L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY A GALLEGOS (BILLING CLERK)
(505) 287-4489
Entity
Organization
Contact information
Practice address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 287-4489
(505) 287-8441
Mailing address
1040 SAKELARES BLVD, GRANTS, NM 87020-3819
(505) 287-4489
(505) 287-8441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NM99-1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62971
—
NM
Enumeration date
07/21/2006
Last updated
05/16/2008
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