Individual
ALEXANDER RANDOLPH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF NEW 918 CAMINO DE SALUD, ALBUQUERQUE, NM 87131-5000
(505) 272-4814
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301511364
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2025-0814
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
08/07/2025
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