Provider Demographics
NPI:1861597965
Name:ARMSTRONG, ALVIN ALFRED JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:ALFRED
Last Name:ARMSTRONG
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 W LEOTA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6578
Mailing Address - Country:US
Mailing Address - Phone:308-532-4700
Mailing Address - Fax:
Practice Address - Street 1:500 W LEOTA ST STE 200
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6578
Practice Address - Country:US
Practice Address - Phone:308-532-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11710207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
207ZP0102XOtherTAXONOMY CODE
207ZP0102XOtherTAXONOMY CODE
NE087780ARMedicare ID - Type Unspecified