| Doctor Name: | DR. TERRY LYNN DEAN |
| NPI Number: | 1730165820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | R2G69 |
| Business Practice Address: | 17675 S Muskogee Ave Tahlequah, OK - 744645492 |
| Business Phone Number: | 9184535387 |
| Business Fax Number: | 9184586159 |
| Mailing Address: | 1400 N Juniper Pl, BROKEN ARROW |
| State: | OK |
| Postal Code: | 740121540 |
| Phone Number: | 9182586519 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R2G69 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |