Individual
DUNG S LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 WHEELING AVE, GLEN DALE, WV 26038-1536
(304) 845-6645
(304) 845-6646
Mailing address
401 WHEELING AVE, GLEN DALE, WV 26038-1536
(304) 233-9314
(304) 233-0265
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00278
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997755000
—
WV
05
—
0926912
—
OH
Enumeration date
06/22/2005
Last updated
10/23/2007
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