Jim C Dickert, DO
NPI #1073695755 in Crystal River, Florida
Provider Information
- NPI Number
- 1073695755
- Entity Type
- Individual
- Name
- Jim C Dickert, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jan 31, 2011
Practice Location
- Address
- 6199 W GULF TO LAKE HWY
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-2679
- Phone
- (352) 795-0644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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