Healthcare Provider Details

I. General information

NPI: 1538331962
Provider Name (Legal Business Name): DEBORAH DEERE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH LIEBER MD

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N GARLAND AVE UNIVERSITY OF ARKANSAS
FAYETTEVILLE AR
72701-3110
US

IV. Provider business mailing address

525 N GARLAND AVE UNIVERSITY OF ARKANSAS
FAYETTEVILLE AR
72701-3110
US

V. Phone/Fax

Practice location:
  • Phone: 479-575-4451
  • Fax: 479-575-8793
Mailing address:
  • Phone: 479-575-4451
  • Fax: 479-575-8793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-6904
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: