# DAVID L DICKERMAN, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801073275
- **Authorized official:** DR. DAVID L DICKERMAN MD (OWNER)
- **Authorized official phone:** (509) 539-9709

## Contact information

- **Practice address:** 985 GOETHALS DR, RICHLAND, WA 99352-3527
- **Practice address phone:** (509) 946-9375
- **Mailing address:** 985 GOETHALS DR, RICHLAND, WA 99352-3527
- **Mailing address phone:** (509) 946-6375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 36697 | WA | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 04/18/2014