Individual
DR. BRIAN DANIEL CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26505
(304) 293-3091
Mailing address
1 STADIUM DRIVE, PO BOX 9235, MORGANTOWN, WV 26505
(304) 293-3091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2645
WV
2085R0202X
Diagnostic Radiology Physician
OS017817
PA
Other
Enumeration date
07/16/2011
Last updated
08/22/2015
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