Malcolm J. Dickerson, M.d., P.c.

NPI #1033440342 in Eldon, Missouri

Provider Information

NPI Number: 1033440342
Entity Type: Organization
Organization Name: Malcolm J. Dickerson, M.d., P.c.
Primary Specialty: Family Medicine
Enumeration Date: Jan 26, 2010
Last Updated: Jan 26, 2010

Practice Location

Address: 411 W 4TH ST
City: Eldon
State: Missouri
ZIP Code: 65026-1919
Phone: (573) 392-9200

Authorized Official

Name: MS. VICKI JO ROUTON
Title: PRACTICE MANAGER
Phone: (573) 392-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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