Individual
JOHNNY DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 S KANAWHA STREET, BECKLEY, WV 25801-3637
(304) 252-0699
(304) 255-6719
Mailing address
2401 S KANAWHA STREET, BECKLY, WV 25801-3637
(304) 252-0699
(304) 255-6719
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10072
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089998000
—
WV
Enumeration date
07/07/2006
Last updated
02/26/2013
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