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Organization
MARCUS C DEEDE MD
Active
Organization
MARCUS C DEEDE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS C DEEDE M.D. (SOLE PROPRIETOR)
(907) 262-9341
Entity
Organization
Contact information
Practice address
265 N BINKLEY ST, SOLDOTNA, AK 99669-7523
(907) 262-9341
(907) 262-1545
Mailing address
265 N BINKLEY ST, SOLDOTNA, AK 99669-7523
(907) 262-9341
(907) 262-1545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1761
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPG0069
—
AK
Enumeration date
10/20/2009
Last updated
10/20/2009
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