Dr. Shelby Elizabeth Deynzer, DO
Student in an Organized Health Care Education/Training Program in Charleston, WV. Individual provider (NPI-1).
NPI number1194570002
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1194570002
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shelby Elizabeth Deynzer
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3200 Maccorkle Ave SeCharleston, WV 25304-1227
Phone 304-388-5590 · Fax 304-388-8238
Mailing address
3200 Maccorkle Ave SeCharleston, WV 25304-1227
Phone 304-388-5590 · Fax 304-388-8238
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