Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD-18846 | HI |
NPI | 1003137142 |
---|---|
Provider Name | Dr. Geoffrey C Alexander |
First Address | Joint Base Lewis Mcchord, WA 98431-1000 |
Second Address | Joint Base Lewis Mcchord, WA 98431-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2010 |
Last Update Date | 14/02/2017 |