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Donald Deardorff
NPI 1447577135 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1116 E Grand Canyon St
Meridian, ID 83646 - Phone
- (707) 628-6163
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-21
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 Idaho