Individual
DR. DEAN R RISING
Active
Individual
DR. DEAN R RISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R3611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109549001
—
AR
05
—
200657229
—
MO
01
—
3220
MO BLUE SHIELD
MO
01
—
82199
ARK BLUE SHIELD
AR
Enumeration date
02/14/2007
Last updated
05/09/2013
Update your record
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