Individual
ALEXANDER GEORGE BOUTSELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01046468A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
42605
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200166030
—
IN
Enumeration date
03/11/2006
Last updated
01/02/2025
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