Individual
DR. ALAN RUSSELL DEAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
313 N 4TH ST, SUITE 100, PONCA CITY, OK 74601-4554
(580) 765-2455
Mailing address
3200 N O ST, BLACKWELL, OK 74631-6310
(580) 789-0489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3264
OK
Other
Enumeration date
07/12/2006
Last updated
07/21/2008
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