Deardorff, Mark William
Deardorff, Mark William is an individual health care provider with primary practice located at 120 S Val Vista Dr , Gilbert AZ 85296-1370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deardorff, Mark William can be contacted via phone (480) 733-6500.Contact Information
Primary practice address
120 S Val Vista Dr
Gilbert AZ 85296-1370
Phone: (480) 733-6500
Fax: (480) 633-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15804 | Arizona |
Profile Details
| NPI number | 1700859592 |
|---|---|
| LBN Legal business name | Deardorff, Mark William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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