Individual
LUKE DICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
16 STERLING DR STE 102, BRIDGEPORT, WV 26330-9133
(681) 342-2133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2505
WV
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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