| NPI | 1982772653 |
|---|---|
| Doing Business As | DODDRIDGE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN C FORESTER Chief Executive Officer 304-624-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WV 51D0236527) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-01-08 |