Alisandra Margaret Dirickson

NPI #1376061911 in Brownwood, Texas

Provider Information

NPI Number: 1376061911
Entity Type: Individual
Name: Alisandra Margaret Dirickson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 5, 2017
Last Updated: Sep 5, 2017

Practice Location

Address: 101 A SOUTH PARK DRIVE
City: Brownwood
State: Texas
ZIP Code: 76801
Phone: (325) 646-6568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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