Individual
DR. MICHAEL ALAN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 DIVISION ST, SUITE 2, PRESCOTT, AZ 86301-1657
(928) 778-7080
(928) 771-9548
Mailing address
1003 DIVISION ST, SUITE 2, PRESCOTT, AZ 86301-1657
(928) 778-7080
(928) 771-9548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25332
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03 D0976842
CLIA
AZ
05
—
887333
—
AZ
Enumeration date
01/11/2006
Last updated
10/15/2007
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