Individual
BRYAN ALLAN DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(304) 256-4100
Mailing address
142 SYCAMORE ST, BECKLEY, WV 25801-3048
(304) 255-4348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1099474
WV
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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