Alexa Marie Fruth, PA

NPI #1568002509 in South Charleston, West Virginia

Provider Information

NPI Number: 1568002509
Entity Type: Individual
Name: Alexa Marie Fruth, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 7, 2020
Last Updated: Feb 21, 2023

Practice Location

Address: 607 CHESTNUT ST
City: South Charleston
State: West Virginia
ZIP Code: 25309-1205
Phone: (304) 766-9136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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