Matthew R Dicker MD

NPI 1164418158 - Specialist - 174400000X

NPI Details
NPI 1164418158
Gender Male
Enumeration Date 09/23/2005
Last Updated 07/25/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1000 AINSWORTH DR
SUITE 115
PRESCOTT AZ, 86305-1667, US
Phone (928) 778-1971
Fax (928) 443-8473
Business Location
1000 AINSWORTH DR
SUITE 115
PRESCOTT AZ, 86305-1667, US
Phone (928) 778-1971
Fax (928) 443-8473
Toxanomy
Taxonomy Code 174400000X
License State Arizona
License Number 33711
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According to our database, Dr. Matthew R Dicker MD NPI is 1164418158, taxonomy code is 174400000X and license number is 33711, license state is located at Arizona. Matthew R Dicker MD physically located at 1000 Ainsworth Dr, Prescott AZ, 86305-1667. NPI Number Matthew R Dicker MD has the Individual type.

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1164418158 NPI number is provided on an as is basis without warranty of any kind. 1164418158 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew R Dicker MD are for informational purposes only.