| Organization Name: | DEAN MCNABB DPM LLC |
| NPI Number: | 1063690527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EARL DEAN MCNABB (OWNER) |
| Mailing Address: | 851 Ne Baker St Suite 4 Mcminnville |
| State: | OR US |
| Postal Code: | 971284991 |
| Phone Number: | 5034345222 |
| Fax Number: | 8778781984 |
| NPI Enumeration Date: | 02/07/2008 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DP00344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |