Individual
DANIELLE A DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2710 HARNEY ST STE 100, LARAMIE, WY 82072-0001
(307) 745-8991
Mailing address
2710 HARNEY ST STE 100, LARAMIE, WY 82072-0001
(307) 745-8991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
05/03/2018
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