Individual
TIMOTHY DESKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
122 NICK SAVAS DR, LOGAN, WV 25601-3468
(304) 752-8081
(304) 752-8083
Mailing address
7400 LYNN AVE, HAMLIN, WV 25523-1138
(304) 824-5806
(304) 824-5804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1813
WV
363AS0400X
Surgical Physician Assistant
01813
WV
Other
Enumeration date
02/10/2015
Last updated
03/14/2025
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