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Individual
DENZIL W HAWKINBERRY II
Active
Individual
DENZIL W HAWKINBERRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20823
WV
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
20823
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706469
BLUE CROSS
WV
01
—
001808009
MSBCBS
WV
01
—
001907643
MSBCBS GROUP
WV
05
—
0207026000
—
WV
01
—
1068812
BRICKSTREET
WV
01
—
205542387
TRICARE
WV
01
—
20554238700
WORKERS COMP
WV
01
—
205542387001
TRICARE
WV
01
—
2332177174-00
OHIO WORKERS COMP
WV
01
—
2528367
OHIO MEDICAID
WV
01
—
270052997004
TRICARE MAAC
WV
01
—
27005997004
TRICARE
WV
05
—
3810001133
—
WV
05
—
3810006746
—
WV
01
—
DF0767
RR MEDICARE
WV
01
—
P00382001
RR MEDICARE
WV
01
—
P00407274
RR MEDICARE
WV
Enumeration date
09/25/2006
Last updated
09/12/2023
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