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NPI Code Detail

MEDICARE: DEIDRE MARIE-FRANCOISE DEFOE M.D.,MPH

MEDICARE: DEIDRE MARIE-FRANCOISE DEFOE M.D.,MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0000XObstetrics Physician0101230506VA

General Provider Information

NPI Number : 1851472898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEIDRE MARIE-FRANCOISE DEFOE M.D.,MPH
Provider Business Mailing Address
First Line : 2 E GLEBE RD
Second Line : ANHSI
City : ALEXANDRIA
State : VA
Zip : 22305-2938
Country : US
Telephone Number : 703-256-2081
Fax Number :
Provider Business Practice Location Address
First Line : 2 E GLEBE RD
Second Line : ANHSI
City : ALEXANDRIA
State : VA
Zip : 22305-2938
Country : US
Telephone Number : 703-535-5568
Fax Number : 703-535-1583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 07/18/2008

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