Individual
LOGAN DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
444 DODD RD, CLARKSBURG, OH 43115-9715
(740) 703-6731
Mailing address
444 DODD RD, CLARKSBURG, OH 43115-9715
(740) 703-6731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0030040
OH
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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