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Individual

DR. JASON PRIGOZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 BROOKS ST, SUITE 200, CHARLESTON, WV 25301-1855
(304) 388-1930
(304) 388-1929
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7782
(304) 388-7788

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
22819
WV
208600000X
Surgery Physician
22819
WV

Other

Enumeration date
12/15/2008
Last updated
08/29/2011
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