Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1765 | CO |
NPI | 1629115720 |
---|---|
Provider Name | Dr. Pamela Anne Dean |
First Address | Colorado Springs, CO 80909-1507 |
Second Address | Colorado Springs, CO 80909-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/12/2008 |