Provider Demographics
NPI:1851472898
Name:DEFOE, DEIDRE MARIE-FRANCOISE (MD,MPH)
Entity Type:Individual
Prefix:
First Name:DEIDRE
Middle Name:MARIE-FRANCOISE
Last Name:DEFOE
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 E GLEBE RD
Mailing Address - Street 2:ANHSI
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-2938
Mailing Address - Country:US
Mailing Address - Phone:703-256-2081
Mailing Address - Fax:
Practice Address - Street 1:2 E GLEBE RD
Practice Address - Street 2:ANHSI
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-2938
Practice Address - Country:US
Practice Address - Phone:703-535-5568
Practice Address - Fax:703-535-1583
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101230506207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics