Individual
SUSAN J DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3911 AVENUE B, SUITE 2250, SCOTTSBLUFF, NE 69361-4617
(308) 632-7322
(308) 632-6181
Mailing address
3911 AVENUE B, SUITE 2250, SCOTTSBLUFF, NE 69361-4617
(308) 632-7322
(308) 632-6181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
921
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060454200
—
NE
Enumeration date
05/30/2006
Last updated
01/03/2018
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