Individual
DR. DEBORAH J HILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529
Mailing address
PO BOX 1112, 1322 LOCUST AVE, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18269
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004068724
AETNA
WV
01
—
001718663
MT SATE BC/BS
WV
05
—
0109780000
—
WV
01
—
0573002
HOME PLAN PEIA AND CHIPS
WV
01
—
206702
CARELINK
WV
01
—
370017785
RR MEDICARE
WV
01
—
4251211
MEDICARE PTAN
WV
01
—
505815
NATIONAL CAPITAL PPO
WV
01
—
550486849 0056
CIGNA
WV
01
—
D64640
WV WORKER'S COMP
WV
01
—
FQ18269-A
HEALTH PLAN
WV
Enumeration date
06/05/2006
Last updated
08/11/2011
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