Individual
DEBORAH THOREN MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 554-9494
Mailing address
44 KINGSTON DR # 193, DALEVILLE, VA 24083-2574
(304) 554-9494
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101045890
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
29759
WV
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101045890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006800165
—
VA
05
—
1013993047
—
VA
01
—
216786
ANTHEM
—
01
—
250012231
MC RAILROAD
—
Enumeration date
12/21/2005
Last updated
09/24/2021
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