# RODNEY DEAN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Herbert J. Thomas Memorial Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083893648
- **Authorized official:** DR. RODNEY DOUGLAS DEAN MD (OWNER)
- **Authorized official phone:** (304) 768-2221

## Contact information

- **Practice address:** 432 DIVISION ST, SOUTH CHARLESTON, WV 25309-1402
- **Practice address phone:** (304) 768-2221
- **Practice address fax:** (304) 768-9260
- **Mailing address:** 432 DIVISION ST, SOUTH CHARLESTON, WV 25309-1402
- **Mailing address phone:** (304) 768-2221
- **Mailing address fax:** (304) 768-9260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 11047 | WV | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 03/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0131118001 | — | WV |
