Phonphanh Dedthanou, DO is a student in an organized health care education training program in Morgantown, WV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Phonphanh Dedthanou, DO NPI is 1447909346. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 MEDICAL CENTER DR
1310 HSC
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-2342
Fax: (304) 293-7725
The enumeration date for this NPI number is 3/20/2022 and was last updated on 3/20/2022.