Dr. Mary Deeken, M.D.
Pediatrics in Jefferson City, MO. Individual provider (NPI-1).
NPI number1912937798
StatusActive
Last updated in NPPESSep 20, 2012
Details
- NPI
- 1912937798
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary Deeken
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Sep 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 106715 | MO | Yes |
Practice location
3348 American AveJefferson City, MO 65109-1079
Phone 573-761-7210 · Fax 573-634-8802
Mailing address
3348 American AveJefferson City, MO 65109-1079
Phone 573-761-7210 · Fax 573-634-8802
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All 26 Pediatrics Physician providers in Jefferson City · All 1,897 providers in Jefferson City
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