Donald E Dickerson MD

NPI 1003923152 - Ophthalmology - 207W00000X

NPI Details
NPI 1003923152
Gender Male
Enumeration Date 08/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1908 SANTA MONICA BLVD
SUITE 3
SANTA MONICA CA, 90404, US
Phone (310) 829-5475
Fax (310) 828-1359
Business Location
1908 SANTA MONICA BLVD
SUITE 3
SANTA MONICA CA, 90404, US
Phone (310) 829-5475
Fax (310) 828-1359
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number G6556
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According to our database, Donald E Dickerson MD NPI is 1003923152, taxonomy code is 207W00000X and license number is G6556, license state is located at California. Donald E Dickerson MD physically located at 1908 Santa Monica Blvd, Santa Monica CA, 90404. NPI Number Donald E Dickerson MD has the Individual type.

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1003923152 NPI number is provided on an as is basis without warranty of any kind. 1003923152 is maintained by the National Plan & Provider Enumeration System. The contents of Donald E Dickerson MD are for informational purposes only.