IndividualActive
Mark Deboer, MD
NPI 1730100868 · Pediatric Endocrinology Physician · Charlottesville, VA
Provider details
- NPI number
- 1730100868
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101232515 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1204 W Main St
Charlottesville, VA 22903-2824
Phone: (434) 924-0123
Fax: (434) 243-3300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9007
Charlottesville, VA 22906-9007
Additional practice locations (1)
- 1215 Lee StCharlottesville, VA 22908-2824Phone: (434) 924-0211
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.