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Individual

GREGORY S DAHMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ORTHOTIST, ATC

Contact information

Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 285-3734
(304) 285-3738
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 285-3734
(304) 285-3738

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C26333
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810008417
WV
Enumeration date
03/08/2007
Last updated
10/25/2013
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