DR. Jeffery S Deacon, DPM

NPI #1104919075 in Marion, Illinois

Provider Information

NPI Number: 1104919075
Entity Type: Individual
Name: DR. Jeffery S Deacon, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Oct 2, 2006
Last Updated: Apr 16, 2008

Practice Location

Address: 3403 PROFESSIONAL PARK DR
City: Marion
State: Illinois
ZIP Code: 62959-6394
Phone: (618) 993-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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