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Penny S Divita, DO
Pediatrics Physician in Charleston, West Virginia
NPI 1598744757

Penny S Divita is a Pediatrics Physician based in Charleston, WV. Penny S Divita practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Penny S Divita is 1598744757 and holds a License No. 1461 (West Virginia).

The current practice location address for Penny S Divita is 830 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 304-388-2709.

Location: 830 Pennsylvania Ave, Charleston, WV, 25302-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598744757
Provider Name
Penny S Divita
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
830 Pennsylvania Ave, Charleston, WV, 25302-3302
Phone Number
304-388-2709
Fax Number
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001718046 01 WV BLUE CROSS BLUE SHIELD
0046618000 05 WV
1040493 01 WV DWC
institution
Provider Business Practice Location Address Details
Address
830 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3302
Phone Number
304-388-2709
Fax Number
person
Provider Business Mailing Address Details
Address
830 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3302
Phone Number
304-388-2709
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
1451 (West Virginia)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
1461 (West Virginia)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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