Individual
DERRICK DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 BELLE CHASSE HWY, TERRYTOWN, LA 70056-7127
(800) 893-9698
Mailing address
3439 PRYTANIA ST, STE 501, NEW ORLEANS, LA 70115-7905
(504) 635-2604
(504) 304-9575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
110
LA
208VP0000X
Pain Medicine Physician
Primary
DO.000110
LA
Other
Enumeration date
10/16/2007
Last updated
01/21/2021
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