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Individual

DR. DAVID C DEAVER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MERCADO ST, SUITE 220, DURANGO, CO 81301-7300
(970) 247-4448
(970) 382-6607
Mailing address
1 MERCADO ST, SUITE 220, DURANGO, CO 81301-7300
(970) 247-4448
(970) 382-6607

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25883
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01258839
CO
Enumeration date
07/20/2006
Last updated
07/10/2008
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