Individual
RICHARD HENRY DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
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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