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Individual
MARC RICHARD DEAN
Active
Individual
MARC RICHARD DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
201403
LA
207Y00000X
Otolaryngology Physician
Primary
P0970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282132402
—
TX
01
—
P01071869
MEDICARE RAILROAD
TX
Enumeration date
06/05/2007
Last updated
09/27/2012
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