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General NPI Number Information
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NPI Number | 1790744811
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Entity Type | Individual
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Provider Name | DAVID PAUL DEAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 1 SAINT VINCENT CIR SUITE 120
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5405
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Country | US
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Telephone | 501-552-2660
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Fax | 501-552-4549
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Provider Business Mailing Address
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Address Line | PO BOX 1368
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City | MUSTANG
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State | OK
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Zip | 73064-8368
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Country | US
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Telephone | 405-745-9600
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Fax | 405-745-9602
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | C7913
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License Number State | AR
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