Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 3605 | SD |
NPI | 1053583468 |
---|---|
Provider Name | Dr. Alexander Murray Mcbride |
First Address | Spearfish, SD 57783-3102 |
Second Address | Spearfish, SD 57783-3102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 25/03/2008 |