Individual
DAMIEN A DEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9471 MARKET ST STE A, NORTH LIMA, OH 44452-8702
(330) 726-7100
(330) 758-0347
Mailing address
9471 MARKET ST STE A, NORTH LIMA, OH 44452-8702
(330) 726-7100
(330) 758-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.011743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021500
—
OH
Enumeration date
06/25/2013
Last updated
12/19/2023
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