NPI 1649212903

Jeffrey a Dodson, MD

Practitioner Dermatology Physician Bridgeport, WV

Practice location

Address: 120 Medical Park Dr Suite 200, Bridgeport, WV 26330-9012
Phone: (304) 624-7200
Fax: (304) 624-0026
Mailing address: 125 N 6th St, Clarksburg, WV 26301-2665

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 21906 (WV)

Other Dermatology providers in West Virginia →

Registry record

NPI: 1649212903
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2006
Record last updated: 23 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.