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Individual

SCOTT E. DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
504 NORTH MACARTHUR AVENUE, PANAMA CITY, FL 32401-3636
(850) 769-2158
(850) 785-9220
Mailing address
504 NORTH MACARTHUR AVENUE, NEPHROLOGY ASSOCIATES, P.A., PANAMA CITY, FL 32401-3636
(850) 769-2158
(850) 785-9220

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME49423
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
062622800
FL
01
390001566
RRB PTAN
Enumeration date
06/22/2005
Last updated
03/17/2014
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