MARK ANDREW DEFORD — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION, SC)
MARK ANDREW DEFORD — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION, SC) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MARK ANDREW DEFORD; Type: Individual; NPI: 1003158908.
| Name | MARK ANDREW DEFORD |
|---|---|
| Type | Individual |
| NPI | 1003158908 |
| Provider type | PRACTITIONER - PHYSICAL MEDICINE AND REHABILITATION |
| State | SC |
| Enrollment ID | I20190627000334 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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