MEDICARE: JOEL M DEAN DO

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
1	2084N0400X	Neurology Physician	28647	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1376567396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL M DEAN DO

Provider Business Mailing Address
First Line	:	744 HORIZON CT STE 360
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-3936
Country	:	US
Telephone Number	:	970-243-8328
Fax Number	:	970-245-7240

Provider Business Practice Location Address
First Line	:	744 HORIZON CT
Second Line	:	STE 360
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-3921
Country	:	US
Telephone Number	:	970-243-8328
Fax Number	:	970-245-7240

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/19/2022

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Directions to “ JOEL M DEAN DO” Practice Location

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