Individual provider · Type 1 NPI

Alexa Marie Fider-Whyte, DMSC, PA-C

Medical Physician Assistant · St. Louis, MO

NPI number 1306814199 Active

Practice location

1225 S Grand Blvd
St. Louis, MO 63104-1016

Fax (314) 257-3761

Mailing address

1008 S Spring Ave
St. Louis, MO 63110-2520

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2005017774 (MO)

Medical Physician Assistant: Definition to come...

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About NPI 1306814199

Alexa Marie Fider-Whyte, DMSC, PA-C's National Provider Identifier is 1306814199, issued on Mar 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis, MO. The record was last updated on Feb 3, 2021.