David P Dickson DICKSON MEDICAL CLINIC PLLC

Address: 500 Front St, Lynden, WA 98264-1923
Phone: 3603544200

David P Dickson (NPI# 1659327088, PAC ID# 9830350339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1659327088
PAC ID by PECOS 9830350339
Professional Enrollment ID I20120410000360
Full Name David P Dickson
Organization Legal Name DICKSON MEDICAL CLINIC PLLC
Address 500 Front St
Lynden
WA 98264-1923
Phone Number 3603544200
Gender M
Medical School UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1982
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 9830350321
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500030 ST JOSEPH MEDICAL CENTER

Other Locations

Address Phone Organization
500 Front St, Lynden, WA 98264-1923 3603544200 DICKSON MEDICAL CLINIC PLLC

Organization Information

Organization Legal Name DICKSON MEDICAL CLINIC PLLC
Physicians 1

Office Location

Street Address 500 FRONT ST
City LYNDEN
State WA
Zip 98264-1923

Competitor

Search similar physicians

City LYNDEN
Zip Code 98264
Specialty FAMILY PRACTICE
City + Specialty LYNDEN + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.