Mousser, Dean Stephen

Mousser, Dean Stephen is an individual health care provider with primary practice located at 4915 E Baseline Rd Ste 119, Gilbert AZ 85234-2965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mousser, Dean Stephen can be contacted via phone (480) 832-0480.

Contact Information

Primary practice address
4915 E Baseline Rd Ste 119 Gilbert AZ 85234-2965
Fax: (480) 832-0490
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26849 Arizona

Profile Details

NPI number 1770561656
LBN Legal business name Mousser, Dean Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Nov 7th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770561656 NPPES
Arizona MEDICAID 509630

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