Individual
DR. DESIRAE SHAVON ALASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1664 E PIKE ST, CLARKSBURG, WV 26301-6011
(304) 709-7000
(304) 624-1780
Mailing address
1912 LOCUST AVE, FAIRMONT, WV 26554-1239
(304) 363-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2263
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810018572
—
WV
Enumeration date
01/21/2008
Last updated
01/29/2016
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