Individual
DR. DOUGLAS D. DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-1638
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0102204560
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0102204560
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326331885
MULTIPLAN
VA
05
—
1326331885
—
NC
05
—
1326331885
—
VA
Enumeration date
05/17/2011
Last updated
11/12/2024
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