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Organization

LARRY A DODD MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY A DODD MD (PRESIDENT)
(304) 233-2455
Entity
Organization

Contact information

Practice address
30 MEDICAL PARK, SUITE 223, WHEELING, WV 26003-6391
(304) 234-2060
(304) 234-2070
Mailing address
PO BOX 6847, WHEELING, WV 26003-0666
(304) 233-2455
(304) 233-6073

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0419738
OH
05
1802957000
WV
Enumeration date
06/29/2007
Last updated
10/19/2007
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