DR. Otto Frederick Dickman IV, M.D.

NPI #1619065943 in Castle Dale, Utah

Provider Information

NPI Number
1619065943
Entity Type
Individual
Name
DR. Otto Frederick Dickman IV, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Oct 11, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
90 WEST MAIN
Address 2
EMERY MEDICAL CENTER
State
Utah
ZIP Code
84513-0607
Phone
(435) 381-2305

Specialties & Taxonomy Codes

Specialty
Family Medicine

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