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NPI Code Detail

MEDICARE: DR. RODNEY JULIUS DEAN MD

MEDICARE: DR. RODNEY JULIUS DEAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician28358IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528037082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY JULIUS DEAN MD
Provider Business Mailing Address
First Line : PO BOX 5427
Second Line :
City : SIOUX CITY
State : IA
Zip : 51102-5427
Country : US
Telephone Number : 712-274-6729
Fax Number : 712-274-6744
Provider Business Practice Location Address
First Line : 3549 SOUTHERN HILLS DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-4736
Country : US
Telephone Number : 712-274-6729
Fax Number : 712-274-6744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/08/2007

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