Individual
DR. SETH ADAM DEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2200
(304) 399-1507
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 526-2200
(304) 399-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2674
WV
207P00000X
Emergency Medicine Physician
58003766
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093709
—
OH
05
—
1437453719
—
WV
05
—
7100310980
—
KY
05
—
Q055449
—
TN
Enumeration date
12/31/2010
Last updated
04/26/2024
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