Individual
ALEXANDER SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 20TH ST STE 430, WHEELING, WV 26003-3746
(304) 902-6720
Mailing address
32 20TH ST STE 430, WHEELING, WV 26003-3746
(304) 902-6720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4164
WV
Other
Enumeration date
05/27/2020
Last updated
10/03/2023
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