Jeffrey Blake Debord in Martinsburg - Internal Medicine

Jeffrey Blake Debord - NPI 1184705170

Jeffrey Blake Debord is a Internal Medicine in Martinsburg, . Jeffrey Blake Debord practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeffrey Blake Debord is 1184705170. The last update date is 2009-09-25.

Jeffrey Blake Debord's current location address is 65 Health Care Ln, Martinsburg, . You can contact this provider via phone number 3042636997 and fax number 3042638827. The mailing address for Jeffrey Blake Debord is 65 Health Care Ln, Martinsburg, . To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Blake Debord
Address 65 Health Care Ln, Martinsburg,
Phone Number 3042636997
Fax Number 3042638827
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1184705170
Provider Enumeration Date 2006-10-18
Last Updated Date 2009-09-25

Provider Mailing Address Detail

Address 65 Health Care Ln
City Martinsburg
State (WV)
Post Code 254014006
Phone Number 3042636997
Fax Number 3042638827

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 1177
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
73644000 WV --

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FAQs about Jeffrey Blake Debord

What is the unique provider identifier assigned to Jeffrey Blake Debord?

The Jeffrey Blake Debord has been issued the NPI (National Provider Identifier) 1184705170 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Jeffrey Blake Debord is geographically located?

The Jeffrey Blake Debord is physically situated at the following location: 65 Health Care Ln, Martinsburg, WV, 254014006.

What is the Jeffrey Blake Debord's area of specialization and corresponding taxonomy classification?

The Jeffrey Blake Debord's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1184705170 to Jeffrey Blake Debord?

The Centers for Medicare & Medicaid Services assigned the 1184705170 to Jeffrey Blake Debord on 2006-10-18.

When was the information pertaining to Jeffrey Blake Debord most recently updated or revised?

The details related to Jeffrey Blake Debord, including its address, specialty, and other relevant information, were last updated or revised on 2009-09-25.

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