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Individual

MATTHEW J DEORIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
28782
AL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
28782
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000102657
AL
01
09-01497
UNITED HEALTHCARE
AL
01
51040155
BCBS
AL
01
51042058
BCBS
AL
01
7881949
AETNA
AL
01
P00030620
RAILROAD MEDICARE
AL
01
Z01267
VIVA HEALTHCARE
AL
Enumeration date
01/20/2006
Last updated
05/01/2024
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