Sharon Marie Dickinson P.A.

NPI 1417135054 - Physician Assistant - 363A00000X

NPI Details
NPI 1417135054
Gender Female
Enumeration Date 02/06/2008
Last Updated 09/17/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
13128 N 94TH DR
SUITE 100
PEORIA AZ, 85381-4254, US
Phone (623) 876-8816
Fax (623) 298-0168
Business Location
13128 N 94TH DR
SUITE 100
PEORIA AZ, 85381-4254, US
Phone (623) 876-8816
Fax (503) 485-4789
Toxanomy
Taxonomy Code 363A00000X
License State Oregon
License Number PA01314
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According to our database, Sharon Marie Dickinson P.A. NPI is 1417135054, taxonomy code is 363A00000X and license number is PA01314, license state is located at Oregon. Sharon Marie Dickinson P.A. physically located at 13128 N 94th Dr, Peoria AZ, 85381-4254. NPI Number Sharon Marie Dickinson P.A. has the Individual type.

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1417135054 NPI number is provided on an as is basis without warranty of any kind. 1417135054 is maintained by the National Plan & Provider Enumeration System. The contents of Sharon Marie Dickinson P.A. are for informational purposes only.