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Samuel Gray Deem, DO
Urology Physician in Charleston, West Virginia
NPI 1700909702

Samuel Gray Deem is a Urology Physician based in Charleston, WV. Samuel Gray Deem practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Samuel Gray Deem is 1700909702 and holds a License No. 2176 (West Virginia).

The current practice location address for Samuel Gray Deem is 3100 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-5120 and via fax at 304-388-5125.

Location: 3100 Maccorkle Ave Se, Charleston, WV, 25304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700909702
Provider Name
Samuel Gray Deem
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3100 Maccorkle Ave Se, Charleston, WV, 25304
Phone Number
304-388-5120
Fax Number
304-388-5125
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01087428 01 WV RAILROAD MEDICARE
3810010649 05 WV
institution
Provider Business Practice Location Address Details
Address
3100 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1223
Phone Number
304-388-5120
Fax Number
304-388-5125
person
Provider Business Mailing Address Details
Address
3100 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1223
Phone Number
304-388-5120
Fax Number
304-388-5125
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
2176 (West Virginia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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