DR. Mark F. Deatherage, M.D. is a vascular surgery surgery in Grants Pass, OR. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Mark F. Deatherage, M.D. NPI is 1841293156. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1600 NW 6TH ST
NORTH SUITE
GRANTS PASS, OR
ZIP 97526-094
Phone: (541) 474-5533
Fax: (541) 476-2380
The NPI 1841293156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/31/2005 and was last updated on 10/17/2012.