MEDICARE: MR. C. DEAN MILNE D.O.

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	207Q00000X	Family Medicine Physician	412	NV
2	207R00000X	Internal Medicine Physician	412	NV

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	:	1396763587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. C. DEAN MILNE D.O.

Provider Business Mailing Address
First Line	:	2010 WELLNESS WAY STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4142
Country	:	US
Telephone Number	:	702-588-7373
Fax Number	:	702-588-7748

Provider Business Practice Location Address
First Line	:	2010 WELLNESS WAY STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4142
Country	:	US
Telephone Number	:	702-588-7373
Fax Number	:	702-588-7748

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/24/2025

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Directions to “ MR. C. DEAN MILNE D.O.” Practice Location

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