Individual
CARMEN R REXRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
314 PINE STREET, FRANKLIN, WV 26807
(304) 358-2355
Mailing address
PO BOX 100, FRANKLIN, WV 26807-0100
(304) 358-2355
(304) 358-3054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16860
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718817
MS BCBS
WV
05
—
0053317000
—
WV
Enumeration date
02/16/2006
Last updated
03/17/2014
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