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Individual

MR. JOSHUA SHANE ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
226 QUIET OAK ST, BEAVER, WV 25813-9492

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01008
WV

Other

Enumeration date
06/13/2008
Last updated
06/13/2008
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