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MARCUS C DEEDE MD NPI 1093041303


NPI Information

NPI: 1093041303
Provider Name: MARCUS C DEEDE MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
265 N BINKLEY ST
SOLDOTNA, AK
ZIP 99669
Phone: (907) 262-9341
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MARCUS C DEEDE MD is a family medicine in Soldotna, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARCUS C DEEDE MD NPI is 1093041303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

265 N BINKLEY ST
SOLDOTNA, AK
ZIP 99669-523
Phone: (907) 262-9341
Fax: (907) 262-1545

The provider's authorized official is Marcus C Deede .
The authorized official title is Sole Proprietor and has the following contact phone number (907) 262-9341.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine1761ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D36063MEDICARE UPINALASKA
2MPG0069MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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