Individual
DR. HERSCHEL B. DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
(225) 924-9985
(225) 924-0884
Mailing address
18901 GREENWELL SPRINGS RD, GREENWELL SPRINGS, LA 70739-4836
(225) 924-9985
(225) 924-0884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010977
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010977
STATE LICENSE
LA
05
—
1103039
—
LA
Enumeration date
01/31/2007
Last updated
03/26/2021
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