Individual
DR. DEAN CLARK BRICK
Active
Individual
DR. DEAN CLARK BRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12366
AZ
207W00000X
Ophthalmology Physician
G35524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220921
—
AZ
Enumeration date
10/02/2006
Last updated
11/21/2007
Update your record
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