Individual
BRYAN SCOTT VAN DINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 GRAND CENTRAL AVE, VIENNA, WV 26105-1079
(304) 422-2625
Mailing address
2720 OXBOW ST, BELPRE, OH 45714-9549
(740) 336-4350
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/17/2018
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