Roger L Deshong in Randallstown - Surgical

Roger L Deshong - NPI 1164483335

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
Address 5401 Old Court Rd, Randallstown, Maryland
Phone Number 4106015524
Fax Number 4106018946
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1164483335
Provider Enumeration Date 2006-03-29
Last Updated Date 2007-10-19

Provider Mailing Address Detail

Address 5401 Old Court Rd
City Randallstown
State Maryland (MD)
Post Code 211335103
Phone Number 4106015524
Fax Number 4106018946

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No C0002602
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Roger L Deshong

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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