Individual
DEWEY L DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
810 EAST VINE STREET, MURRAY, KY 42071
(270) 762-1100
(270) 752-2290
Mailing address
PO BOX 22408, SAINT LOUIS, MO 63126-0408
(270) 366-0755
(314) 846-0635
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
29181
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337245
BCBS KY PIN
KY
05
—
64088081
—
KY
01
—
P00146132
MEDICARE RAILROAD
KY
Enumeration date
10/17/2005
Last updated
07/07/2014
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