Provider Demographics
NPI:1609010065
Name:DEAN, JULIANNE STEWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:STEWARD
Last Name:DEAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF IM MSC10 5550
Mailing Address - Street 2:UNMHSC 1 UNIVERSITY OF NM
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131
Mailing Address - Country:US
Mailing Address - Phone:505-272-4868
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF IM MSC10 5550
Practice Address - Street 2:UNMHSC 1 UNIVERSITY OF NM
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131
Practice Address - Country:US
Practice Address - Phone:505-272-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A15721207P00000X
390200000X
NMR862020390200000X
UT12383588-1204207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program