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Individual

ELIJAH BRADLEY DRUMMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
227 MEDICAL PARK DR, BRIDGEPORT, WV 26330-8420
(681) 342-3500
Mailing address
4022 MEADOWBROOK RD, BRIDGEPORT, WV 26330-7272

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2728
WV

Other

Enumeration date
01/10/2022
Last updated
07/23/2024
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