Douglas J Dickson DPM

NPI 1083649008 - Podiatrist - 213E00000X

NPI Details
NPI 1083649008
Gender Male
Enumeration Date 07/11/2006
Last Updated 10/21/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
792 N MAIN ST
NORTH SYRACUSE NY, 13212-1644, US
Phone (315) 452-4670
Fax (315) 579-4670
Business Location
792 N MAIN ST
NORTH SYRACUSE NY, 13212-1644, US
Phone (315) 452-4670
Fax (315) 579-4670
Toxanomy
Taxonomy Code 213E00000X
License State New York
License Number N004816
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According to our database, Dr. Douglas J Dickson DPM NPI is 1083649008, taxonomy code is 213E00000X and license number is N004816, license state is located at New York. Douglas J Dickson DPM physically located at 792 N Main St, North Syracuse NY, 13212-1644. NPI Number Douglas J Dickson DPM has the Individual type.

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1083649008 NPI number is provided on an as is basis without warranty of any kind. 1083649008 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas J Dickson DPM are for informational purposes only.