Individual
GENEROSO D DUREMDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NEW HOPE RD STE 106, PRINCETON, WV 24740-2143
(304) 425-5093
(304) 487-3675
Mailing address
PO BOX 1374, PRINCETON, WV 24740-1374
(304) 425-5093
(304) 487-3675
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101022907
VA
208600000X
Surgery Physician
Primary
09778
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127426000
—
WV
05
—
7335067
—
VA
Enumeration date
11/13/2006
Last updated
12/17/2007
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