Healthcare Provider Details

I. General information

NPI: 1205513033
Provider Name (Legal Business Name): ALEXANDRIA ARTHUR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 CRANBERRY DR
BECKLEY WV
25801-8560
US

IV. Provider business mailing address

454 CRANBERRY DR
BECKLEY WV
25801-8560
US

V. Phone/Fax

Practice location:
  • Phone: 304-250-6040
  • Fax:
Mailing address:
  • Phone: 304-250-6040
  • Fax: 304-253-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4462
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: