Individual
RICHARD HENRY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
30900
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191573000
—
WV
01
—
22870
MEDCOST
NC
01
—
28006
BCBS
NC
01
—
4665734
AETNA
NC
01
—
5023
PARTNERS
NC
05
—
7311656
—
VA
05
—
8928006
—
NC
05
—
Q30900
—
SC
Enumeration date
11/15/2005
Last updated
04/28/2008
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