Provider Demographics
NPI:1053644344
Name:BOKOR, ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:BOKOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7625
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59904-0625
Mailing Address - Country:US
Mailing Address - Phone:406-393-2098
Mailing Address - Fax:406-393-2097
Practice Address - Street 1:8 1ST ST E
Practice Address - Street 2:SUITE 104
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6119
Practice Address - Country:US
Practice Address - Phone:406-393-2098
Practice Address - Fax:406-393-2097
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10150207QA0401X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine