Individual
DR. MARY BETH DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Mailing address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
63617
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83131540
—
CO
01
—
P00322762
RAILROAD MEDICARE
CO
Enumeration date
10/31/2005
Last updated
05/31/2012
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