Individual
MARC RAYMOND DESHAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504
(859) 258-4000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
031470
NJ
207P00000X
Emergency Medicine Physician
36333
SC
207P00000X
Emergency Medicine Physician
Primary
56253
KY
207P00000X
Emergency Medicine Physician
ME89798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270967800
—
FL
01
—
37928
BCBS
FL
Enumeration date
03/18/2006
Last updated
06/08/2023
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