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Individual

DEAN ALLEN TEETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141
Mailing address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-01621
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0185959
IA
05
1689634206
IA
Enumeration date
03/27/2006
Last updated
03/23/2015
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