Jay Alan Dedeker, MSS

NPI #1831416395 in Ooltewah, Tennessee

Provider Information

NPI Number: 1831416395
Entity Type: Individual
Name: Jay Alan Dedeker, MSS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist
Credential: MSS
Enumeration Date: Apr 23, 2010
Last Updated: Apr 23, 2010

Practice Location

Address: 6711 MOUNTAIN VIEW RD STE 115
City: Ooltewah
State: Tennessee
ZIP Code: 37363-6667
Phone: (423) 238-1127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X	Primary

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