Individual
JEFFERY SCOTT DIAL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5187 US ROUTE 60 STE 13, HUNTINGTON, WV 25705-2076
(304) 733-5010
Mailing address
5187 US ROUTE 60 STE 13, HUNTINGTON, WV 25705-2076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101495
WV
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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