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DANIEL PHILIP DEASIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
146 E HOSPITAL DR STE 350, WEST COLUMBIA, SC 29169-4800
(803) 314-9640
Mailing address
201 4TH ST STE 1D, ALEXANDRIA, LA 71301-8421
(318) 443-7622
(318) 443-7629

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2017021713
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
88772
SC

Other

Enumeration date
03/29/2012
Last updated
06/17/2024
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