Individual
ALEXA MARIE FRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
607 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1205
(304) 766-9136
(304) 766-9139
Mailing address
607 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1205
(304) 766-9136
(304) 766-9139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
825
WV
Other
Enumeration date
01/07/2020
Last updated
02/21/2023
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