Provider Demographics
NPI:1043298854
Name:STRAIGHT, ALEXANDRA E (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:E
Last Name:STRAIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2748 CROSSROADS BLVD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-3933
Mailing Address - Country:US
Mailing Address - Phone:970-255-0919
Mailing Address - Fax:970-255-0901
Practice Address - Street 1:2748 CROSSROADS BLVD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-3933
Practice Address - Country:US
Practice Address - Phone:970-255-0919
Practice Address - Fax:970-255-0901
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0075043207RN0300X
DEC110006788207P00000X
MN49619207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE014163D04Medicare ID - Type Unspecified