person
Dr. Michael Deprospero, MD
Student in an Organized Health Care Education/Training Program in Charleston, West Virginia
NPI 1801251525

Michael Deprospero is a Student in an Organized Health Care Education/Training Program based in Charleston, WV. Michael Deprospero practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Michael Deprospero is 1801251525 and holds a License No. (West Virginia).

The current practice location address for Michael Deprospero is 3200 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-4600 and via fax at 304-388-4621. You can also correspond with Michael Deprospero through the mailing address at 3200 MACCORKLE AVE SE, CHARLESTON, WV - 25304-1227 (mailing address contact number: 304-388-4600).

Location: 3200 Maccorkle Ave Se, Charleston, WV, 25304-1227
person
Provider Profile Details
NPI Number
1801251525
Provider Name
Michael Deprospero
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3200 Maccorkle Ave Se, Charleston, WV, 25304-1227
Phone Number
304-388-4600
Fax Number
304-388-4621
Provider Enumeration Date
12/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304-1227
Phone Number
304-388-4600
Fax Number
304-388-4621
person
Provider Business Mailing Address Details
Address
3200 Maccorkle Ave Se
City
State
Zip
25304-1227
Phone Number
304-388-4600
Fax Number
304-388-4621
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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