Individual
DR. ANTOIN MARCUS ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8350 W. BADURA AVENUE 3RD FL, LAS VEGAS, NV 89113
(702) 968-3240
(702) 949-6201
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01058153A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
01058153A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
14282255-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
27691
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588621890
—
NV
01
—
27691
LICENSE
NV
Enumeration date
04/28/2006
Last updated
06/12/2026
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