Individual
AMANDA G DEASY
Active
Individual
AMANDA G DEASY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0102206347
VA
207W00000X
Ophthalmology Physician
34013417
OH
Other
Enumeration date
03/18/2014
Last updated
06/07/2021
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