Individual
DR. AUTUMN NICOLE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3067
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-9071
(970) 624-4036
(970) 490-4378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101242249
VA
207Q00000X
Family Medicine Physician
Primary
DR.0051716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87132753
—
CO
Enumeration date
02/28/2008
Last updated
07/28/2016
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