Organization
VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD BLAIR DEAN MD (STAFF PSYCHIATRIST)
(707) 570-3800
Entity
Organization
Contact information
Practice address
3315 CHANATE RD STE 1B, SANTA ROSA, CA 95404-1740
(707) 570-3800
(707) 570-3860
Mailing address
3315 CHANATE RD STE 1B, SANTA ROSA, CA 95404-1740
(707) 570-3800
(707) 570-3860
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
C19197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C19197
MEDICAL BOARD NUMBER
CA
Enumeration date
09/26/2006
Last updated
03/07/2023
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