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Individual

MARK H. DEIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2865 CHANCELLOR DR, SUITE 225, CRESTVIEW HILLS, KY 41017-3912
(859) 341-5400
(859) 579-4594
Mailing address
2865 CHANCELLOR DR, SUITE 225, CRESTVIEW HILLS, KY 41017-3912
(859) 341-5400
(859) 579-4594

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36522
KY

Other

Enumeration date
11/25/2005
Last updated
07/08/2007
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