Individual
CHRISTOPHER L DEWESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
179 STATION PLACE WAY, SUITE 200, HURRICANE, WV 25526-8747
(304) 691-8870
(304) 757-0042
Mailing address
1600 MEDICAL CENTER DR, HUNTINGTON, WV 25701-3656
(304) 691-8870
(304) 757-0042
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20192
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801215000
—
WV
05
—
2205689
—
OH
05
—
64025638
—
KY
Enumeration date
04/12/2006
Last updated
12/02/2021
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