Richard L Dickson, M.d.

NPI #1124210224 in Forks, Washington

Provider Information

NPI Number
1124210224
Entity Type
Organization
Organization Name
Richard L Dickson, M.d.
Primary Specialty
Family Medicine
Enumeration Date
Aug 13, 2007
Last Updated
Sep 10, 2008

Practice Location

Address
481 WEST E. ST.
City
Forks
ZIP Code
98331-1918
Phone
(360) 374-6642

Authorized Official

Name
MR. RICHARD LEE DICKSON, M.D.
Title
PHYSICIAN/OWNER
Phone
(360) 374-6642

Specialties & Taxonomy Codes

Specialty
Family Medicine

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