Provider Demographics
NPI:1508803487
Name:DEER, PHILIP J III (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:J
Last Name:DEER
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:8500 W MARKHAM ST
Mailing Address - Street 2:#133
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2453
Mailing Address - Country:US
Mailing Address - Phone:501-224-4701
Mailing Address - Fax:501-224-1003
Practice Address - Street 1:8500 W MARKHAM ST
Practice Address - Street 2:#133
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2453
Practice Address - Country:US
Practice Address - Phone:501-224-4701
Practice Address - Fax:501-224-1003
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2008-04-29
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Provider Licenses
StateLicense IDTaxonomies
ARC-6594207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00430415OtherRAILROAD MEDICARE
AR104016001Medicaid
AR522347145Medicare PIN