Basic Information
Provider Information
NPI: 1558604520
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DESCHNER
FirstName: BENJAMIN
MiddleName: WILLIAM
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21 HOSPITAL DR FL 2
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014550
CountryCode: US
TelephoneNumber: 8282132500
FaxNumber:  
Practice Location
Address1: 21 HOSPITAL DR FL 2
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014550
CountryCode: US
TelephoneNumber: 8282132500
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2013
LastUpdateDate: 08/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086X0206X2019-02880NCY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


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