Individual
DR. DEKKER DEACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
30 N 1900 E RM 4A330, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Mailing address
30 N 1900 E RM 4A330, SALT LAKE CITY, UT 84132-0002
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10957034-1205
UT
Other
Enumeration date
03/25/2017
Last updated
12/03/2021
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