Individual
DR. MARK H DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
630 PETER JEFFERSON PKWY STE 170, CHARLOTTESVILLE, VA 22911-4624
(434) 975-2555
(434) 974-6900
Mailing address
630 PETER JEFFERSON PKWY STE 170, CHARLOTTESVILLE, VA 22911-4624
(434) 975-2555
(434) 974-6900
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177603
ANTHEM
VA
01
—
9831443
CIGNA
VA
Enumeration date
08/08/2006
Last updated
07/08/2007
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