DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ANDREW DIMOS DIMITRO, PT

Active Sole Proprietor

MR. ANDREW DIMOS DIMITRO, PT is a Specialist healthcare provider located in CROSS LANES, West Virginia. NPI 1407177207 is currently active in the NPPES registry. Verify at CMS.

Specialist · CROSS LANES, WV

Registration Details

NPI Number
1407177207
Provider Type
Individual
Gender
Male
NPI Issued
Jun 15, 2010 (16.144586875734 yrs)
Last Updated
Jun 15, 2010
License
0995 (WV)
Sole Proprietor
Yes

Practice Information

Address
810 LAKEVIEW DR
CROSS LANES, WV, 253131448
Browse WV providers · Browse ZIP 25313
Phone
3043955635
Primary Specialty
Specialist
174400000X

Other Specialist Providers in CROSS LANES, WV

Name Credential NPI
DELAYNE SUTTON PLATA M.A. 1215101837
CATHY JO HIGGINS 1730997156
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.