Individual
TYLER CRAIG DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MOSS LN, RIVER RIDGE, LA 70123-2941
(504) 330-0353
Mailing address
801 MOSS LN, RIVER RIDGE, LA 70123-2941
(504) 330-0353
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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