Individual
MR. DOUGLAS B DEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 LAMBERT STREET SUITE 511, STAUNTON, VA 24401
(540) 886-6259
(540) 885-1696
Mailing address
PO BOX 1920, STAUNTON, VA 24402
(540) 886-6259
(540) 885-1696
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
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