Individual
DR. DOUGLAS EUGENE DEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 FISHER ST, BILOXI, MS 39534-2502
(228) 376-3136
Mailing address
500 FISHER ST, BILOXI, MS 39534-2502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101262236
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101262236
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101262236
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101262236
—
VA
Enumeration date
02/03/2015
Last updated
01/16/2025
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