Dr. Dekker Deacon, M.D., Ph.D.
Dermatology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1871024372
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1871024372
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dekker Deacon
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2017
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 10957034-1205 | UT | Yes |
Practice location
30 N 1900 E Rm 4a330Salt Lake City, UT 84132-0002
Phone 801-581-2121
Mailing address
30 N 1900 E Rm 4a330Salt Lake City, UT 84132-0002
Phone 801-581-2121
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