Zane A Dennison, DO
Family Medicine in Bridgeport, WV. Individual provider (NPI-1).
NPI number1649769639
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1649769639
- Entity type
- Individual (NPI-1)
- Name
- Zane A Dennison
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2018
- Certification date
- Apr 6, 2022
- Last updated
- Apr 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3663 | WV | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
527 Medical Park Dr Ste 500Bridgeport, WV 26330-9010
Phone 681-342-3600 · Fax 681-342-3625
Mailing address
527 Medical Park Dr Ste 500Bridgeport, WV 26330-9010
Phone 681-342-3600 · Fax 681-342-3625
Other practice locations
617 River St
Gassaway, WV 26624-1137
Gassaway, WV 26624-1137
Phone 304-364-2401
100 Hoylman Dr
Gassaway, WV 26624-9318
Gassaway, WV 26624-9318
Phone 304-364-5156
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