Roger L Deshong is a Surgical in Randallstown, Maryland. Roger L Deshong practices all healthcare services and medical treatments related to Surgical. The NPI Number for Roger L Deshong is 1164483335. The last update date is 2007-10-19.
Roger L Deshong's current location address is 5401 Old Court Rd, Randallstown, Maryland. You can contact this provider via phone number 4106015524 and fax number 4106018946. The mailing address for Roger L Deshong is 5401 Old Court Rd, Randallstown, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Roger L Deshong |
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Address | 5401 Old Court Rd, Randallstown, Maryland |
Phone Number | 4106015524 |
Fax Number | 4106018946 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1164483335 |
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Provider Enumeration Date | 2006-03-29 |
Last Updated Date | 2007-10-19 |
Provider Mailing Address Detail
Address | 5401 Old Court Rd |
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City | Randallstown |
State | Maryland (MD) |
Post Code | 211335103 |
Phone Number | 4106015524 |
Fax Number | 4106018946 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | C0002602 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique identifier code issued to Roger L Deshong by the Centers for Medicare & Medicaid Services?
The Roger L Deshong has been assigned the NPI (National Provider Identifier) 1164483335. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Roger L Deshong's facilities are situated?
The facilities of Roger L Deshong are physically located at the following address: 5401 Old Court Rd, Randallstown, MD, 211335103.
What is Roger L Deshong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roger L Deshong's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Roger L Deshong receive the assignment of its 1164483335 from the Centers for Medicare & Medicaid Services?
The Roger L Deshong was issued its 1164483335 by the Centers for Medicare & Medicaid Services on 2006-03-29.
As of what date was the information regarding Roger L Deshong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roger L Deshong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-19.
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