Provider Demographics
NPI:1437131570
Name:DEMERS, DENISE MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MARGARET
Last Name:DEMERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 A REID STREET
Mailing Address - Street 2:MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ- QCR
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-968-1892
Mailing Address - Fax:
Practice Address - Street 1:9040 A REID STREET
Practice Address - Street 2:MADIGAN ARMY MEDICAL CENTER, ATTN: MCHJ- QCR
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-1892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 57762080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN