Search › Arizona › 163W00000X
Jerome Dedecker
NPI 1225603327 · on the registry since 2021 · sole proprietor
Practice
- Address
- 26827 Fortrock Rd
Seligman, AZ 86337 - Phone
- (928) 583-4245
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona