IndividualActive
Alexander Jenson
NPI 1124450317 · Emergency Medicine Physician · Gallup, NM
Provider details
- NPI number
- 1124450317
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- D86397 (MD)
Mailing address
1103 Boggio Dr
Gallup, NM 87301-4906
Registry dates
- Enumerated
- 2013-07-30
- Last updated
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.