Individual
DEIDRE SPICER MACCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, PHC, WASHINGTON, DC 20007-2113
(202) 444-8525
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856
(202) 444-8525
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33378
DC
Other
Enumeration date
07/15/2005
Last updated
10/24/2007
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