Susan Jane Dean
Plastic and Reconstructive Surgery
2490 S Woodworth Loop Suite 310
Palmer
, Alaska 99645-7405
Susan Jane Dean
Plastic and Reconstructive Surgery
2490 S Woodworth Loop Suite 310
Palmer
, Alaska 99645-7405
(907) 745-7570
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Susan Jane Dean
- 2490 S Woodworth Loop Suite 310
- Palmer, AK
- Zip : 99645-7405
- Fax : (907) 745-7570
- Phone : (907) 745-7575
Second Address
- Susan Jane Dean
- 2490 S Woodworth Loop Suite 310
- Palmer, AK
- Zip : 99645-7405
- Fax : (907) 745-7570
- Phone : (907) 745-7575
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 7300 | AK |
National Provider Identifier
| NPI | 1073577326 |
|---|---|
| Provider Name | Susan Jane Dean |
| First Address | Palmer, AK 99645-7405 |
| Second Address | Palmer, AK 99645-7405 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 11/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8928018 | (05) | NC |
| F35000 | (02) | NC |
| MD9490 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.