# MARCUS C DEEDE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093041303
- **Authorized official:** MARCUS C DEEDE M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (907) 262-9341

## Contact information

- **Practice address:** 265 N BINKLEY ST, SOLDOTNA, AK 99669-7523
- **Practice address phone:** (907) 262-9341
- **Practice address fax:** (907) 262-1545
- **Mailing address:** 265 N BINKLEY ST, SOLDOTNA, AK 99669-7523
- **Mailing address phone:** (907) 262-9341
- **Mailing address fax:** (907) 262-1545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1761 | AK | Yes |

## Other

- **Enumeration date:** 10/20/2009
- **Last updated:** 10/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MPG0069 | — | AK |