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Individual
DR. KODWO BOSEMEFI DICKSON
Active
Individual
DR. KODWO BOSEMEFI DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M .D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45760
AZ
207R00000X
Internal Medicine Physician
Primary
Q6938
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018680
—
NV
05
—
362528701 (MDACC)
—
TX
05
—
711337
—
AZ
Enumeration date
11/28/2007
Last updated
11/01/2016
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