DR. Deanna Fae Ducomb, M.D.

NPI #1124013107 in Carlyle, Illinois

Provider Information

NPI Number: 1124013107
Entity Type: Individual
Name: DR. Deanna Fae Ducomb, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Sep 15, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1210 JEFFERSON ST
City: Carlyle
State: Illinois
ZIP Code: 62231-1323
Phone: (618) 594-2454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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