DR. Larry J Dickinson, D.O.

NPI #1972583094 in Gallatin, Missouri

Provider Information

NPI Number: 1972583094
Entity Type: Individual
Name: DR. Larry J Dickinson, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jan 17, 2006
Last Updated: Nov 20, 2009

Practice Location

Address: 100 E JOHNSON ST
City: Gallatin
State: Missouri
ZIP Code: 64640-1338
Phone: (660) 663-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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