Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 87970 | GA |
NPI | 1386007201 |
---|---|
Provider Name | Dr. Chase Stuart Dean |
First Address | Aurora, CO 80045-2570 |
Second Address | Aurora, CO 80045-2570 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 17/03/2021 |