Individual provider · Type 1 NPI

Alexandra Glenn Bond, PA-C

Medical Physician Assistant · Fort Wayne, IN

NPI number 1508774720 Active

Practice location

5693 Ymca Park Dr W
Fort Wayne, IN 46835-3280

Call (260) 425-6500 Map

Mailing address

14622 Pioneer Creek Ct
Leo, IN 46765-9370

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1508774720

Alexandra Glenn Bond, PA-C's National Provider Identifier is 1508774720, issued on Aug 29, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 29, 2026.