DR. Mark F. Deatherage, M.D.
NPI #1841293156 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1841293156
- Entity Type
- Individual
- Name
- DR. Mark F. Deatherage, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery - Vascular Surgery
- Credential
- M.D.
- Enumeration Date
- May 31, 2005
- Last Updated
- Oct 17, 2012
Practice Location
- Address
- 1600 NW 6TH ST
- Address 2
- NORTH SUITE
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1094
- Phone
- (541) 474-5533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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