Individual
PHILLIP JORDAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 S JACKSON HWY, SUITE 104, SHEFFIELD, AL 35660-5769
(256) 381-8811
(256) 381-5677
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8104
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30609
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30609
ALABAMA LICENSE
—
01
—
34344
MEDICAL LICENSE
SC
Enumeration date
05/07/2009
Last updated
07/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us