Individual
GEORGE SCOTT DICUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
Mailing address
610 SHEPHERD DR, SEARCY, AR 72143-6873
(501) 268-6831
(501) 279-2402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-0536
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131800001
—
AR
Enumeration date
11/03/2005
Last updated
05/28/2019
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