Individual provider · Type 1 NPI

Alexandra Acquaviva, MD

Family Medicine Physician · Fort Leonard Wood, MO

NPI number 1336896364 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Call (573) 596-0417 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X0101279768 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1336896364

Alexandra Acquaviva, MD's National Provider Identifier is 1336896364, issued on Mar 9, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Oct 2, 2025.