Individual
HOWARD D DEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 BAPTIST DR, #304, MADISON, MS 39110-2009
(601) 605-3531
(601) 605-3532
Mailing address
401 BAPTIST DR, #304, MADISON, MS 39110-2009
(601) 605-3531
(601) 605-3532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04974
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115735
—
MS
01
—
4239272
AETNA
MS
01
—
753068151011
TRICARE
MS
01
—
P00417794
RR MEDICARE
MS
Enumeration date
08/08/2006
Last updated
03/31/2008
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