Individual
MR. DOUGLAS B DEGEN
Active
Individual
MR. DOUGLAS B DEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101034143
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034159
ANTHEM
VA
01
—
08069900000
SOUTHERN HEALTH
VA
05
—
6010342
—
VA
Enumeration date
11/08/2006
Last updated
07/08/2007
Update your record
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