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Organization
ALAN M DEMBY MD INC
Active
Organization
ALAN M DEMBY MD INC
Active
Other names
Demby Urologic Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MARK DEMBY MD (PHYSICIAN OWNER)
(304) 623-3601
Entity
Organization
Contact information
Practice address
300 DAVISSON RUN RD, STE 307, CLARKSBURG, WV 26301-9304
(304) 623-3601
(304) 623-3603
Mailing address
300 DAVISSON RUN RD, STE 307, CLARKSBURG, WV 26301-9304
(304) 623-3601
(304) 623-3603
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21848
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001899
—
WV
01
—
WV21848
HEALTH PLAN
—
Enumeration date
10/13/2005
Last updated
08/22/2020
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