Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 0101037964 | VA |
NPI | 1700983418 |
---|---|
Provider Name | Alexander Mcarthur III |
First Address | Newport News, VA 23606-3080 |
Second Address | Newport News, VA 23606-3080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 27/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6900321 | (05) | VA |
B05057 | (02) | |
C05349 | MEDICARE GROUP NUMBER (01) | VA |