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Individual

DR. DAVID A DEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 ARKANSAS ST, SUITE 120, LAWRENCE, KS 66044-1335
(785) 749-3600
(785) 749-3621
Mailing address
16630 S COUNTRY CLUB CT, VILLAGE OF LOCH LLOYD, MO 64012-3376
(816) 425-4931

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-14419
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060604
BSKS
KS
01
10001646800
COMMUNITY HEALTH PLAN
05
100202800A
KS
01
10098026
BSKC
KS
01
10098026
PHP
01
10765
COVENTRY
01
2450136
UHC
01
300016981
MEDICARE RAILROAD
01
85489
AETNA
01
A001
TRI-CARE CHAMPUS
01
CIGNA
025
Enumeration date
01/16/2007
Last updated
08/29/2008
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