DR. Deidra Fawn Muto, M.D.
NPI #1609164227 in Charleston, West Virginia
Provider Information
- NPI Number
- 1609164227
- Entity Type
- Individual
- Name
- DR. Deidra Fawn Muto, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pathology - Anatomic Pathology & Clinical Pathology
- Credential
- M.D.
- Enumeration Date
- Jul 17, 2011
- Last Updated
- Jul 17, 2011
Practice Location
- Address
- 219 GEORGETOWN PL
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25314-1871
- Phone
- (304) 543-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
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