Individual
DR. DEAN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 S. BRENTWOOD BLVD, ST. LOUIS, MO 63144-1870
(314) 367-1181
(314) 962-3462
Mailing address
2201 S. BRENTWOOD BLVD, ST. LOUIS, MO 63144-1870
(314) 367-1181
(314) 962-3462
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
R5138
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
2016004988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050267012
—
IL
05
—
200140606
—
MO
Enumeration date
06/23/2005
Last updated
05/10/2021
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