Individual provider · Type 1 NPI

Phonphanh Dedthanou, DO

Neurology Physician · Morgantown, WV

NPI number 1447909346 Active

Practice location

1 Medical Center Dr, 1310 Hsc
Morgantown, WV 26506

Call (304) 293-2342 Map

Fax (304) 293-7725

Mailing address

130 Red Mulberry Way Apt 2
Charleston, WV 25306-6317

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XMED-PHYS-LIC-173223 (MT)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1447909346

Phonphanh Dedthanou, DO's National Provider Identifier is 1447909346, issued on Mar 20, 2022. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Morgantown, WV. The record was last updated on Jun 4, 2026.