Provider Demographics
NPI:1407687106
Name:ALEXANDER, DEBORAH JO
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JO
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 10TH STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNDS
Mailing Address - State:OK
Mailing Address - Zip Code:74047
Mailing Address - Country:US
Mailing Address - Phone:405-481-1884
Mailing Address - Fax:
Practice Address - Street 1:210 10TH STREET
Practice Address - Street 2:
Practice Address - City:MOUNDS
Practice Address - State:OK
Practice Address - Zip Code:74047
Practice Address - Country:US
Practice Address - Phone:405-481-1884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist