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Individual

GORDON M ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(804) 765-5000
(804) 765-5948
Mailing address
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9274
(804) 765-5000
(804) 765-5948

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101055246
VA
208M00000X
Hospitalist Physician
Primary
0101055246
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010159750
VA
01
175992
BCBS
VA
Enumeration date
07/18/2005
Last updated
04/22/2011
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