Healthcare Provider Details

I. General information

NPI: 1790708972
Provider Name (Legal Business Name): DARREN GUY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BUZELL AVE
EXETER NH
03833-2522
US

IV. Provider business mailing address

8 AMBERWOOD DR
EXETER NH
03833-4723
US

V. Phone/Fax

Practice location:
  • Phone: 603-772-8900
  • Fax: 603-772-0468
Mailing address:
  • Phone: 603-580-6753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13457
License Number StateNH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: