Provider Demographics
NPI:1538331962
Name:DEERE, DEBORAH (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:DEERE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:LIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:525 N GARLAND AVE
Mailing Address - Street 2:UNIVERSITY OF ARKANSAS
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-3110
Mailing Address - Country:US
Mailing Address - Phone:479-575-4451
Mailing Address - Fax:479-575-8793
Practice Address - Street 1:525 N GARLAND AVE
Practice Address - Street 2:UNIVERSITY OF ARKANSAS
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-3110
Practice Address - Country:US
Practice Address - Phone:479-575-4451
Practice Address - Fax:479-575-8793
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-6904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine