Individual
TIMOTHY GUINEY DEEULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 1ST AVE, SUITE 303, HUNTINGTON, WV 25702-1236
(304) 529-1005
(304) 529-1006
Mailing address
2828 1ST AVE STE 303, HUNTINGTON, WV 25702-1236
(304) 529-1005
(304) 529-1006
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
15951
WV
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
15951
WV
207VX0201X
Gynecologic Oncology Physician
Primary
15951
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091663000
—
WV
05
—
0709282
—
OH
Enumeration date
04/06/2007
Last updated
07/21/2022
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