Provider Demographics
NPI:1891712352
Name:DEAN, JULI MERRILL (MD)
Entity Type:Individual
Prefix:MRS
First Name:JULI
Middle Name:MERRILL
Last Name:DEAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:513 BROOKWOOD BLVD
Mailing Address - Street 2:SUITE 75
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-877-2921
Mailing Address - Fax:205-877-2617
Practice Address - Street 1:513 BROOKWOOD BLVD
Practice Address - Street 2:SUITE 75
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-877-2921
Practice Address - Fax:205-877-2617
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00026092207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1533129OtherBLUE CROSS
G27696Medicare UPIN