WILLARD H DEAN, MD, General Practice GLORIETA, NM

Contact Information

WILLARD H DEAN, MD

73 SABINO GONZALES ROAD
GLORIETA, NM 87535

Phone: 505-983-1120
Fax: 505-757-6465
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for WILLARD H DEAN · (Male)

NPI Number	`1376639310`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	10/05/2006
Last updated	07/08/2007 - About 19 years ago
Sole proprietor ¹	No
Identifiers	NM License # 81181
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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