Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1179 | NM |
NPI | 1134235005 |
---|---|
Provider Name | Dr. Blair T Alexander |
First Address | Albuquerque, NM 87111-3205 |
Second Address | Albuquerque, NM 87111-3205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 23/09/2015 |