Organization
DEWEY L. DEAN MD PHD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWEY L DEAN M.D., PHD (OWNER/PATHOLOGIST)
(270) 752-2270
Entity
Organization
Contact information
Practice address
810 EAST VINE STREET, MURRAY, KY 42071
(270) 762-1100
(270) 752-2290
Mailing address
PO BOX 22408, SAINT LOUIS, MO 63126-0408
(270) 366-0755
(314) 846-0635
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64088081
—
KY
01
—
DC0699
MEDICARE RAILROAD
KY
Enumeration date
06/17/2005
Last updated
07/07/2014
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