Dr. Mary Deeken
M.D. | Pediatrics | Female
Dr. Mary Deeken, M.D. is a Jefferson City, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mary Deeken is
3348 American Ave, Jefferson City, Missouri - 65109-1079. She can be contacted on phone at
573-761-7210 and fax number 573-634-8802.
Dr. Mary Deeken is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Mary Deeken is
1912937798 which was assigned by NPPES on 04 Jul, 2006 and it was last updated on 20 Sep, 2012.
Dr. Mary Deeken license number is
106715 for Pediatrics (208000000X) in Missouri.
Dr. Mary Deeken is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mary Deeken basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Mary Deeken |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Mary Deeken address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3348 American Ave
Jefferson City, MO, 65109-1079
United States |
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| Phone Number : | 573-761-7210 |
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| Fax Number : | 573-634-8802 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912937798 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jul, 2006 |
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| Last Updated On : | 20 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Deeken are as mentioned. Primary taxonomy code for Dr. Mary Deeken, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 106715 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mary Deeken such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 203845300 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3348 American Ave
Jefferson City, MO, 65109-1079
United States |
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| Phone Number : | 573-761-7210 |
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| Fax Number : | 573-634-8802 |
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Business Location:
Patients can refer following map for directions to
Dr. Mary Deeken practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.