Individual
DR. MORRIS STEPHEN DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3473
(304) 831-1101
Mailing address
15 SHERWOOD CIR, HURRICANE, WV 25526-9265
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1102
WV
207Q00000X
Family Medicine Physician
Primary
1102
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000724012
BC/BS
WV
05
—
00421261001
—
WV
01
—
1047000
DWC
WV
Enumeration date
06/14/2006
Last updated
07/28/2010
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