Individual
DR. JOHN D DICKENS JR.
Active
Individual
DR. JOHN D DICKENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, SFHM
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016935
ME
207R00000X
Internal Medicine Physician
DR.0064553
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016535
STSTE OF MAINE LICENSE
ME
Enumeration date
01/12/2006
Last updated
10/08/2020
Update your record
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