Mark Walter Deroo in Olathe - Pediatrics

Mark Walter Deroo - NPI 1982657516

Mark Walter Deroo is a Pediatrics in Olathe, Kansas. Mark Walter Deroo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark Walter Deroo is 1982657516. The last update date is 2011-08-19.

Mark Walter Deroo's current location address is 23450 College Blvd, Olathe, Kansas. You can contact this provider via phone number 9137647788 and fax number 9137646088. The mailing address for Mark Walter Deroo is 23450 College Blvd, Olathe, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Walter Deroo
Address 23450 College Blvd, Olathe, Kansas
Phone Number 9137647788
Fax Number 9137646088
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1982657516
Provider Enumeration Date 2006-05-17
Last Updated Date 2011-08-19

Provider Mailing Address Detail

Address 23450 College Blvd
City Olathe
State Kansas (KS)
Post Code 660618702
Phone Number 9137647788
Fax Number 9137646088

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 427012
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100293370E KS --

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FAQs about Mark Walter Deroo

What is the unique 10-digit identification code issued to Mark Walter Deroo by the Centers for Medicare & Medicaid Services?

The Mark Walter Deroo has been assigned the NPI (National Provider Identifier) 1982657516 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Mark Walter Deroo's facilities are situated?

The facilities of Mark Walter Deroo are physically located at the following address: 23450 College Blvd, Olathe, KS, 660618702.

What is Mark Walter Deroo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Walter Deroo is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

When did Mark Walter Deroo receive its 1982657516 assignment?

The Mark Walter Deroo was assigned its 1982657516 on 2006-05-17, which is the date when this unique identifier was issued to the organization.

When was the information related to Mark Walter Deroo most recently updated or refreshed?

The details pertaining to the Mark Walter Deroo, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-19.

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