Individual
ZANE A DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
Mailing address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
(681) 342-3625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3663
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2018
Last updated
04/06/2022
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