Individual
DANIEL G DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223
Mailing address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2003
ID
Other
Enumeration date
02/11/2021
Last updated
03/11/2024
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