Individual
JAY RICHARD MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
610 WASHINGTON BLVD, BELPRE, OH 45714-2499
(740) 423-5055
(740) 423-5058
Mailing address
610 WASHINGTON BLVD, BELPRE, OH 45714-2499
(740) 423-5055
(740) 423-5058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2552
WV
207R00000X
Internal Medicine Physician
Primary
34.010124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095862
—
OH
Enumeration date
09/21/2011
Last updated
10/08/2023
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