Mark F. Deatherage in Grants Pass - Vascular Surgery
Mark F. Deatherage - NPI 1841293156
Mark F. Deatherage is a Vascular Surgery in Grants Pass, Oregon. Mark F. Deatherage practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mark F. Deatherage is 1841293156. The last update date is 2012-10-17.
Mark F. Deatherage's current location address is 1600 Nw 6th St, Grants Pass, Oregon. You can contact this provider via phone number 5414745533 and fax number 5414762380. The mailing address for Mark F. Deatherage is 1600 Nw 6th St, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark F. Deatherage |
|---|---|
| Address | 1600 Nw 6th St, Grants Pass, Oregon |
| Phone Number | 5414745533 |
| Fax Number | 5414762380 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1841293156 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2012-10-17 |
Provider Mailing Address Detail
| Address | 1600 Nw 6th St |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 9752610940 |
| Phone Number | 5414745533 |
| Fax Number | 5414762380 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD11842 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24059 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark F. Deatherage by the Centers for Medicare & Medicaid Services?
The Mark F. Deatherage has been assigned the NPI (National Provider Identifier) 1841293156 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mark F. Deatherage is physically located?
The Mark F. Deatherage is physically situated at the following address: 1600 Nw 6Th St, Grants Pass, OR, 9752610940.
What is Mark F. Deatherage's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark F. Deatherage's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Mark F. Deatherage receive the assignment of its 1841293156 from the Centers for Medicare & Medicaid Services?
The Mark F. Deatherage was issued its 1841293156 by the Centers for Medicare & Medicaid Services on 2005-05-31.
As of what date were the details pertaining to Mark F. Deatherage last refreshed?
The information related to the Mark F. Deatherage, including its address, specialty, and other relevant details, was last updated on 2012-10-17.