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Individual

DEAN S MCGAUGHEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 466-8683
(757) 466-8892
Mailing address
6251 E VIRGINIA BEACH BLVD STE 200, NORFOLK, VA 23502-2800
(757) 213-5700
(757) 213-5701

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101225787
VA
207RH0003X
Hematology & Oncology Physician
DR.0069214
CO
207RX0202X
Medical Oncology Physician
Primary
DR.0069214
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005837634
VA
01
110202413
RAILROAD MEDICARE
VA
01
26040
OPTIMA
VA
Enumeration date
06/17/2005
Last updated
09/18/2024
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