Individual
DR. GABRIEL T DEGUIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7029 JUNIPERVIEW LN, CINCINNATI, OH 45243-2558
(513) 984-1114
(513) 984-3814
Mailing address
7029 JUNIPERVIEW LN, CINCINNATI, OH 45243-2558
(513) 984-1114
(513) 984-3814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-04-0217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010977
ANTHEM BC./BS
OH
05
—
0550747
—
OH
Enumeration date
07/18/2006
Last updated
07/08/2007
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