Stacey D Dickenson M.D.

NPI 1700978319 - Pediatrics - 208000000X

NPI Details
NPI 1700978319
Gender Female
Enumeration Date 09/29/2006
Last Updated 07/17/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
252 RURAL ACRES DR
BECKLEY WV, 25801-3503, US
Phone (304) 252-8551
Fax (304) 252-1790
Business Location
252 RURAL ACRES DR
BECKLEY WV, 25801-3503, US
Phone (304) 252-8551
Fax (304) 252-1790
Toxanomy
Taxonomy Code 208000000X
License State West Virginia
License Number 20007
Remove 1700978319 NPI Number
 

According to our database, Stacey D Dickenson M.D. NPI is 1700978319, taxonomy code is 208000000X and license number is 20007, license state is located at West Virginia. Stacey D Dickenson M.D. physically located at 252 Rural Acres Dr, Beckley WV, 25801-3503. NPI Number Stacey D Dickenson M.D. has the Individual type.

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1700978319 NPI number is provided on an as is basis without warranty of any kind. 1700978319 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey D Dickenson M.D. are for informational purposes only.