Individual
DR. AMANDA STEPHENS DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 CORPORATE CENTER DR., SCOTT DEPOT, WV 25560
(304) 691-6800
(304) 691-6751
Mailing address
63 CORPORATE CENTER DR, SCOTT DEPOT, WV 25560-7841
(304) 691-8901
(304) 691-1969
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
24421
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810021067
—
WV
Enumeration date
07/16/2008
Last updated
12/27/2021
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