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Dr. Mark F. Deatherage, MD
Vascular Surgery Physician in Grants Pass, Oregon
NPI 1841293156

Mark F. Deatherage is a Vascular Surgery Physician based in Grants Pass, OR and is specialized in Vascular Surgery. Mark F. Deatherage practices in Grants Pass, OR and has the professional credentials of MD. The NPI Number for Mark F. Deatherage is 1841293156 and holds a License No. MD11842 (Oregon).

The current practice location address for Mark F. Deatherage is 1600 Nw 6Th St, Grants Pass, OR and can be reached out via phone at 541-474-5533 and via fax at 541-476-2380. You can also correspond with Mark F. Deatherage through the mailing address at 1600 NW 6TH ST, GRANTS PASS, OR - 97526-1094 (mailing address contact number: 541-474-5533).

Location: 1600 Nw 6Th St, Grants Pass, OR, 97526-1094
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Provider Profile Details
NPI Number
1841293156
Provider Name
Mark F. Deatherage
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1600 Nw 6Th St, Grants Pass, OR, 97526-1094
Phone Number
541-474-5533
Fax Number
541-476-2380
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024059 05 OR
institution
Provider Business Practice Location Address Details
Address
1600 Nw 6Th St
City
State
Zip
97526-1094
Phone Number
541-474-5533
Fax Number
541-476-2380
person
Provider Business Mailing Address Details
Address
1600 Nw 6Th St
City
State
Zip
97526-1094
Phone Number
541-474-5533
Fax Number
541-476-2380
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
MD11842 (Oregon)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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