Organization
OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE
Active
Other names
Osteopathic Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK H DEAN D.O. (OWNER)
(434) 975-2555
Entity
Organization
Contact information
Practice address
630 PETER JEFFERSON PKWY, SUITE 170, CHARLOTTESVILLE, VA 22911-8605
(434) 975-2555
(434) 974-6900
Mailing address
630 PETER JEFFERSON PKWY, SUITE 170, CHARLOTTESVILLE, VA 22911-8605
(434) 975-2555
(434) 974-6900
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177604
ANTHEM
VA
Enumeration date
08/08/2006
Last updated
08/22/2020
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