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Individual

DR. DEAN V. COONROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5651
(602) 344-5578
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21040
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167587
AZ
Enumeration date
05/18/2006
Last updated
08/24/2011
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