Dr. Deidra Fawn Muto, MD
Dr. Deidra Fawn Muto, MD is an Anatomic Pathology & Clinical Pathology Physician in Charleston, West Virginia. Practices as a sole proprietor. Licensed in South Carolina and West Virginia.
- Licensed in
- SC, WV
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
219 Georgetown PlCharleston, WV 25314-1871
Phone: (304) 543-2663
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 21489 (WV) |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence 21492 (SC) |
Record details
| NPI number | 1609164227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2011 |
| Last updated in NPPES | July 17, 2011 |
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