Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 22857 | WV |
N | 208600000X | Surgeon | 22857 | WV |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 51210 | KY |
NPI | 1013116946 |
---|---|
Provider Name | John T Deel |
First Address | Pikeville, KY 41502-0432 |
Second Address | Pikeville, KY 41501-1689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2007 |
Last Update Date | 30/06/2020 |