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Organization

DEANZ MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RASHONDA L DEAN M.D. (PRESIDENT)
(318) 442-5800
Entity
Organization

Contact information

Practice address
501 MEDICAL CENTER DR, BOX 30141, ALEXANDRIA, LA 71301-8124
(318) 442-5800
(318) 442-1109
Mailing address
501 MEDICAL CENTER DR, BOX 30141, ALEXANDRIA, LA 71301-8124
(318) 442-5800
(318) 442-1109

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200248
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043309016
GROUP NPI #
LA
01
5CW41
GROUP MEDICARE PIN#
Enumeration date
09/10/2008
Last updated
12/28/2009
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