Organization
WV'S DYNAMIC MOTION IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C. SHARP PHD., DO. (OWNER)
(304) 799-2286
Entity
Organization
Contact information
Practice address
105 DUNCAN ROAD, MARLINTON, WV 24954
(304) 799-2286
Mailing address
PO BOX 262, BUCKEYE, WV 24924-0262
(304) 799-2286
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6805006000
—
WV
Enumeration date
09/26/2006
Last updated
08/22/2020
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