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Organization
DEAN EDMUND ALTENHOFEN, M.D., P.A.
Active
Organization
DEAN EDMUND ALTENHOFEN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN E ALTENHOFEN M.D. (PHYSICIAN)
(850) 475-0902
Entity
Organization
Contact information
Practice address
6110 N DAVIS HWY, PENSACOLA, FL 32504-6950
(850) 475-0902
(850) 475-0908
Mailing address
6110 N DAVIS HWY, PENSACOLA, FL 32504-6950
(850) 475-0902
(850) 475-0908
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME0046652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02245
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
05
—
047401100
—
FL
01
—
59146654
BLUE CROSS BLUE SHIELD OF ALABAMA
FL
Enumeration date
11/09/2011
Last updated
11/28/2011
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