Individual
ALEXANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2510 COMMONS BLVD STE 210, BEAVERCREEK, OH 45431-3821
(937) 429-0607
(937) 429-0608
Mailing address
2510 COMMONS BLVD STE 210, BEAVERCREEK, OH 45431-3821
(937) 986-1821
(937) 702-9041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006757RX
OH
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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