| Doctor Name: | ALEXANDER MICHAEL GOLDNER |
| NPI Number: | 1164857520 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA2013-0058 |
| Business Practice Address: | 805 Tom Foy Blvd Bayard, NM - 880239767 |
| Business Phone Number: | 5755375068 |
| Business Fax Number: | 5755422388 |
| Mailing Address: | 530 Demoss Street, Hidalgo Medical Services LORDSBURG |
| State: | NM |
| Postal Code: | 880452618 |
| Phone Number: | 5755428384 |
| Fax Number: | 5755422388 |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 09/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA2013-0058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |