1831309848 WILLIE DEAN

Exclusive Provider Organization

Active

Basic Information

Organization Name
WILLIE DEAN
Enumeration Date
May 22, 2007
Last Update
August 22, 2020
Authorized Official
WILLIE RUTH DEAN
LVN
Phone: (209) 688-7720

Practice Location

Address
1012 RAUBE CT
MODESTO, CA 953512417
Phone
(209) 544-9377

Mailing Address

Address
5288 BARBADOS CIR
STOCKTON, CA 952106605
Phone
(209) 688-7720

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
 302F00000X Exclusive Provider Organization VN128313 CA Primary

Frequently Asked Questions

What is WILLIE DEAN's NPI number?
WILLIE DEAN's NPI number is 1831309848.
Which doctor has NPI number 1831309848?
The doctor with NPI number 1831309848 is WILLIE DEAN.
What is WILLIE DEAN's practice address?
WILLIE DEAN's practice address is 1012 RAUBE CT, MODESTO, CA, 953512417.
Which doctor practices at 1012 RAUBE CT, MODESTO, CA, 953512417?
WILLIE DEAN practices at 1012 RAUBE CT, MODESTO, CA, 953512417.
What is WILLIE DEAN's mailing address?
WILLIE DEAN's mailing address is 5288 BARBADOS CIR, STOCKTON, CA, 952106605.
What is WILLIE DEAN's phone number?
WILLIE DEAN's phone number is (209) 544-9377.
Who is (209) 544-9377?
(209) 544-9377 is the phone number for WILLIE DEAN.
What is WILLIE DEAN's specialty?
WILLIE DEAN's specialty is Exclusive Provider Organization.
What type of doctor is WILLIE DEAN?
WILLIE DEAN is a Exclusive Provider Organization.
Is WILLIE DEAN a Exclusive Provider Organization?
Yes, WILLIE DEAN is a Exclusive Provider Organization.
Is WILLIE DEAN still practicing?
Yes, WILLIE DEAN is currently practicing.
Is WILLIE DEAN accepting new patients?
WILLIE DEAN may be accepting new patients. Please call their office at (209) 544-9377 to inquire about availability.
Is NPI 1831309848 still active?
Yes, NPI 1831309848 is currently active.
Where does WILLIE DEAN practice?
WILLIE DEAN practices in MODESTO, CA.