Individual provider · Type 1 NPI

Roger L. Deshong, PA

Surgical Physician Assistant · Randallstown, MD

NPI number 1164483335 Active

Practice location

5401 Old Court Rd
Randallstown, MD 21133-5103

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0002602 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1164483335

Roger L. Deshong, PA's National Provider Identifier is 1164483335, issued on Mar 29, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Randallstown, MD. The record was last updated on Oct 19, 2007.