Nicole Alissa Deatherage
Nicole Alissa Deatherage is an Anatomic Pathology & Clinical Pathology Physician in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2022
Practice location Address checks out
1625 N Campbell AveTucson, AZ 85719-4330
Phone: (520) 626-6830
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Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence R79300 (AZ) |
|---|
Record details
| NPI number | 1417691338 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2022 |
| Last updated in NPPES | April 26, 2022 |
| Certification date | April 26, 2022 |
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