Individual
MARK A DEEMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATH TR
Contact information
Practice address
4550 MEMORIAL DR, SUITE G-100, BELLEVILLE, IL 62226-5359
(618) 236-2246
(618) 236-2315
Mailing address
PO BOX 24007, BELLEVILLE, IL 62223-9007
(618) 222-9999
(618) 222-9337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/19/2005
Last updated
07/08/2007
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