Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALISSA E DEMASTUS
Active Sole ProprietorMALISSA E DEMASTUS is a Podiatric Surgery healthcare provider located in ENTERPRISE, West Virginia. NPI 1356077291 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · ENTERPRISE, WV
Registration Details
- NPI Number
- 1356077291
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2022 (4.0634166354533 yrs)
- Last Updated
- Jul 25, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
26 W. ENTERPRISE RDENTERPRISE, WV, 26568Browse WV providers · Browse ZIP 26568
- Phone
- 3046774140
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.