Anthony V Deceanne in Peoria - Foot & Ankle Surgery
Anthony V Deceanne - NPI 1083613293
Anthony V Deceanne is a Foot & Ankle Surgery in Peoria, Illinois. Anthony V Deceanne practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Anthony V Deceanne is 1083613293. The last update date is 2010-03-29.
Anthony V Deceanne's current location address is 5017 N Glen Park Place Rd, Peoria, Illinois. You can contact this provider via phone number 3096911589 and fax number 3096922032. The mailing address for Anthony V Deceanne is 5017 N Glen Park Place Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Anthony V Deceanne |
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Address | 5017 N Glen Park Place Rd, Peoria, Illinois |
Phone Number | 3096911589 |
Fax Number | 3096922032 |
Sole Proprietor | N |
Credentials | DPM |
NPI Number Detail
NPI Number | 1083613293 |
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Provider Enumeration Date | 2005-07-19 |
Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
Address | 5017 N Glen Park Place Rd |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616144677 |
Phone Number | 3096911589 |
Fax Number | 3096922032 |
Provider's Primary Taxonomy Detail
Speciality | Foot & Ankle Surgery |
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Taxonomy | 213Es0103X |
Licence No | 16004489 |
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
16004489 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony V Deceanne by the Centers for Medicare & Medicaid Services (CMS)?
The Anthony V Deceanne has been assigned the NPI (National Provider Identifier) 1083613293. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Anthony V Deceanne's physical address?
The Anthony V Deceanne is physically located at 5017 N Glen Park Place Rd, in the city of Peoria, IL, with the postal code 616144677.
What is Anthony V Deceanne's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Anthony V Deceanne is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.
When did the Anthony V Deceanne receive its 1083613293?
The Anthony V Deceanne was issued its 1083613293 on 2005-07-19, which is the date when the organization was assigned this unique identifier.
When was the Anthony V Deceanne's information last updated?
The Anthony V Deceanne's information was last updated on 2010-03-29.
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