MEDICARE: DR. PAMELA ANNE DEAN D.C.

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	111NX0800X	Orthopedic Chiropractor	1765	CO

General Provider Information

NPI Number	:	1629115720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA ANNE DEAN D.C.

Provider Business Mailing Address
First Line	:	2167 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1507
Country	:	US
Telephone Number	:	719-550-0777
Fax Number	:	719-550-9032

Provider Business Practice Location Address
First Line	:	2167 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1507
Country	:	US
Telephone Number	:	719-550-0777
Fax Number	:	719-550-9032

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	12/08/2008

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