Misty Irene Dickerson D.O.

NPI 1427296318 - Specialist - 174400000X

NPI Details
NPI 1427296318
Gender Female
Enumeration Date 01/30/2009
Last Updated 08/27/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
7740 WASHINGTON VILLAGE DRIVE
SUITE 100
CENTERVILLE OH, 45458-3994, US
Phone (937) 433-4325
Fax
Business Location
2912 SPRINGBORO RD
SUITE 201
MORAINE OH, 45439-1674, US
Phone (937) 297-8999
Fax
Toxanomy
Taxonomy Code 174400000X
License State Ohio
License Number 34.010654
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According to our database, Dr. Misty Irene Dickerson D.O. NPI is 1427296318, taxonomy code is 174400000X and license number is 34.010654, license state is located at Ohio. Misty Irene Dickerson D.O. physically located at 7740 Washington Village Drive, Centerville OH, 45458-3994. NPI Number Misty Irene Dickerson D.O. has the Individual type.

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1427296318 NPI number is provided on an as is basis without warranty of any kind. 1427296318 is maintained by the National Plan & Provider Enumeration System. The contents of Misty Irene Dickerson D.O. are for informational purposes only.