Individual
BRANDON DOVERSPIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 DOCTORS LN, SUITE 202, CLARION, PA 16214-8568
(814) 226-2500
(814) 226-2501
Mailing address
210 HAMILTON ST, NEW BETHLEHEM, PA 16242-1226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT015723
PA
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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