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Individual

WILLIAM M. DEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2931
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 841-1000
(505) 843-2931

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
68-84
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17350
NM
Enumeration date
06/01/2005
Last updated
07/09/2007
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