Individual
ALAN M DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A79112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1808834000
—
WV
Enumeration date
07/28/2005
Last updated
06/02/2023
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