Individual
DR. PHILIP D DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
511 E BOONESLICK RD, WARRENTON, MO 63383-2011
(636) 456-8370
(636) 456-8370
Mailing address
511 E BOONESLICK RD, PO BOX 709, WARRENTON, MO 63383-2011
(636) 456-8370
(636) 456-8370
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R6G74
MO
2084N0600X
Clinical Neurophysiology Physician
R6G74
MO
2084P0800X
Psychiatry Physician
R6G74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202396305
—
MO
Enumeration date
01/18/2007
Last updated
07/14/2010
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