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Individual

MR. DONALD WALTER ASBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1240 HOCKMAN PIKE, BLUEFIELD, VA 24605
(276) 322-2278
(276) 322-3650
Mailing address
1240 HOCKMAN PIKE, BLUEFIELD, VA 24605
(276) 322-2278
(276) 322-3650

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101050993
VA
207K00000X
Allergy & Immunology Physician
17847
WV
207R00000X
Internal Medicine Physician
0101050993
VA
207R00000X
Internal Medicine Physician
17847
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005855331
VA
01
0070397000
MEDICAID
WV
Enumeration date
09/17/2006
Last updated
12/07/2012
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