Individual
DR. JEFFREY A DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MEDICAL PARK DR, SUITE 200, BRIDGEPORT, WV 26330-9012
(304) 624-7200
(304) 624-0026
Mailing address
125 N 6TH ST, CLARKSBURG, WV 26301-2665
(304) 624-7200
(304) 624-0026
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21906
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004580
—
WV
Enumeration date
06/12/2006
Last updated
01/23/2015
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