Individual provider · NPI-1

Deborah K Mcdermott, M.D.

Internal Medicine · Swansea, IL

NPI number1013998152
StatusActive
Last updated in NPPESOct 24, 2012

Details

NPI
1013998152
Entity type
Individual (NPI-1)
Name
Deborah K Mcdermott
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Nov 7, 2005
Last updated
Oct 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036-061906ILYes

Practice location

4 Park Pl
Swansea, IL 62226-2965

Phone 618-277-7500 · Fax 618-277-4236

Mailing address

Po Box 23340
Saint Louis, MO 63156-3340

Phone 618-277-7500 · Fax 618-277-4236

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