Individual
DEREK AUSTIN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Mailing address
235 BOUGAINVILLEA CIR, DOTHAN, AL 36301-5825
(334) 791-0970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-134163
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119170
NBCRNA
AL
Enumeration date
01/04/2018
Last updated
03/17/2018
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