Individual
DR. MARK LEE DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 MEMBERS WAY FL 5, DOVER, NH 03820-5933
(603) 609-6800
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17500
NH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
106644
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105753
—
NH
Enumeration date
10/21/2005
Last updated
03/17/2018
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