ROGER L DESHONG

RANDALLSTOWN, MD
NPI1164483335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C0002602)
Enumeration Date2006-03-29
Last Update Date2007-10-19
Business Address
Mr. ROGER L DESHONG PA
5401 OLD COURT RD
RANDALLSTOWN, MD 21133-5103
Phone number: 410-521-2200
Mailing Address
Mr. ROGER L DESHONG PA
5401 OLD COURT RD ATTN: CREDENTIALING
RANDALLSTOWN, MD 21133-5103
Phone number: 410-601-5524
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