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NPI Code Detail

MEDICARE: MR. RORY DILLON

MEDICARE: MR. RORY DILLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist1999-0380WV

General Provider Information

NPI Number : 1841748696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RORY DILLON
Provider Business Mailing Address
First Line : 140 1/2 UNION ST
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-3726
Country : US
Telephone Number : 304-887-9114
Fax Number : 304-487-6491
Provider Business Practice Location Address
First Line : 140 MISTY LN
Second Line :
City : PRINCETON
State : WV
Zip : 24740-6462
Country : US
Telephone Number : 304-425-2222
Fax Number : 304-487-6491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2016
Last Update Date : 09/21/2016

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