Provider Demographics
NPI:1316339823
Name:DEAN, VAL (MD)
Entity type:Individual
Prefix:
First Name:VAL
Middle Name:
Last Name:DEAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 DEERPATH TRL
Mailing Address - Street 2:
Mailing Address - City:FRANKTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80116-9459
Mailing Address - Country:US
Mailing Address - Phone:720-935-5655
Mailing Address - Fax:303-660-3566
Practice Address - Street 1:1232 DEERPATH TRL
Practice Address - Street 2:
Practice Address - City:FRANKTOWN
Practice Address - State:CO
Practice Address - Zip Code:80116-9459
Practice Address - Country:US
Practice Address - Phone:720-935-5655
Practice Address - Fax:303-660-3566
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20575207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine