Individual
JONATHAN ALLEN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6353 2ND ST, WILMER, AL 36587-4453
(251) 410-7425
(251) 649-6200
Mailing address
6353 2ND ST, WILMER, AL 36587-4453
(251) 410-7425
(251) 649-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.30780
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234688
—
AL
01
—
235244
RURAL HEALTH MEDICAID
AL
Enumeration date
04/28/2009
Last updated
09/18/2024
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