DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALEXANDER MARK EISEN, DO

Active

DR. ALEXANDER MARK EISEN, DO is a Pediatrics healthcare provider located in ENTERPRISE, Alabama. NPI 1366490682 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ENTERPRISE, AL

Registration Details

NPI Number
1366490682
Provider Type
Individual
Gender
Male
NPI Issued
May 5, 2006 (20.250669467693 yrs)
Last Updated
Mar 9, 2021
Licenses
0102201876 (VA)
5800150 (OH)
0102201876 (VA)
DO.1311 (AL)

Practice Information

Address
105 E WATTS ST
ENTERPRISE, AL, 363302511
Browse AL providers · Browse ZIP 36330
Phone
3343935437
Fax
3343934185
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
General Practice
Additional Specialty
Pediatrics

Other Pediatrics Providers in ENTERPRISE, AL

Name Credential NPI
DR. MARIA AURORA CANLAS SUCGANG MD 1528049863
DR. RODD DANIEL WHITAKER MD 1083664155
MRS. JAMIE T. HIXON-GRIFFIN M.D. 1558396358
NORMA P SAMUY M.D. 1093725178
DR. STEPHEN RAYMOND BRANDT MD 1942302435
MISTY MICHELLE PARKER M.D. 1609019413
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.