Keith Dickerson M.D.

NPI 1043296924 - Family Medicine - 207Q00000X

NPI Details
NPI 1043296924
Gender Male
Enumeration Date 12/21/2005
Last Updated 04/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1160 PATTERSON RD
GRAND JUNCTION CO, 81506-8275, US
Phone (970) 298-2800
Fax (970) 298-7522
Business Location
1160 PATTERSON RD
PO BOX 62
GRAND JUNCTION CO, 81506-8275, US
Phone (970) 298-2800
Fax (970) 298-7522
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 42576
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According to our database, Keith Dickerson M.D. NPI is 1043296924, taxonomy code is 207Q00000X and license number is 42576, license state is located at Colorado. Keith Dickerson M.D. physically located at 1160 Patterson Rd, Grand Junction CO, 81506-8275. NPI Number Keith Dickerson M.D. has the Individual type.

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1043296924 NPI number is provided on an as is basis without warranty of any kind. 1043296924 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Dickerson M.D. are for informational purposes only.