IndividualActive
Phonphanh Dedthanou, DO
NPI 1447909346 · Neurology Physician · Morgantown, WV
Provider details
- NPI number
- 1447909346
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- MED-PHYS-LIC-173223 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1 Medical Center Dr
1310 Hsc
Morgantown, WV 26506
Phone: (304) 293-2342
Fax: (304) 293-7725
Approximate (ZIP-level) locationGet directions
Mailing address
130 Red Mulberry Way Apt 2
Charleston, WV 25306-6317
Registry dates
- Enumerated
- 2022-03-20
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.