Search › West Virginia › 374U00000X
Tavia Defazio
NPI 1649163338 · on the registry since 2025 · sole proprietor
Practice
- Address
- 231 Bassel Addition Rd
Clarksburg, WV 26301 - Phone
- (304) 614-5717
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2025-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia