Individual
MRS. ALEXA MARIE FIDER-WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
1225 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-3760
(314) 257-3761
Mailing address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-2140
(314) 977-2141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2005017774
MO
Other
Enumeration date
03/09/2006
Last updated
02/03/2021
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