Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 26798 | WV |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 26798 | WV |
NPI | 1275778680 |
---|---|
Provider Name | Omar F Duenas |
First Address | Morgantown, WV 26506-1200 |
Second Address | Morgantown, WV 26506-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2008 |
Last Update Date | 09/01/2021 |