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Gary S Deguzman, M.d., Inc
Medical Specialty Clinic/Center in Wheeling, West Virginia
NPI 1659586428

Gary S Deguzman, M.d., Inc is a Medical Specialty Clinic/Center based in Wheeling, WV and is specialized in Medical Specialty. Gary S Deguzman, M.d., Inc practices in Wheeling, WV. The NPI Number for Gary S Deguzman, M.d., Inc is 1659586428 and holds a License No. 19734 (West Virginia).

The current practice location address for Gary S Deguzman, M.d., Inc is 2115 Chapline St, Wheeling, WV and can be reached out via phone at 304-234-1817 and via fax at 304-234-8448.

Location: 2115 Chapline St, Wheeling, WV, 26003-3859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659586428
Provider Name
Gary S Deguzman, M.d., Inc
Credential
Provider Entity Type
Organization
Address
2115 Chapline St, Wheeling, WV, 26003-3859
Phone Number
304-234-1817
Fax Number
304-234-8448
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2160281 05 OH
0300027000 05 WV
institution
Provider Business Practice Location Address Details
Address
2115 Chapline St
City
Wheeling
State
West Virginia
Zip
26003-3859
Phone Number
304-234-1817
Fax Number
304-234-8448
person
Provider Business Mailing Address Details
Address
2115 Chapline St
City
Wheeling
State
West Virginia
Zip
26003-3859
Phone Number
304-234-1817
Fax Number
304-234-8448
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
19734 (West Virginia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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