DR. MARK DEATHERAGE, M.D.

Surgery - Vascular Surgery

Active Individual
NPI: 1841293156

Practice Address

1600 NW 6TH ST
NORTH SUITE
Grants Pass, OR 97526

Phone: (541) 474-5533

Specialties

Specialty Code Primary License
Surgery - Vascular Surgery 2086S0129X Yes MD11842 (OR)

Frequently Asked Questions

NPI 1841293156 is the National Provider Identifier for DR. MARK DEATHERAGE, M.D., a Surgery - Vascular Surgery provider located in Grants Pass, OR. This NPI was enumerated on May 31, 2005.
DR. MARK DEATHERAGE, M.D. practices at 1600 NW 6TH ST, NORTH SUITE, Grants Pass, OR 97526.

Quick Facts

NPI
1841293156
Type
Individual
Enumerated
May 31, 2005
Last Updated
Oct 17, 2012

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