Individual
REBEKAH DICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362
(509) 525-3720
(509) 522-1593
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201467
LA
Other
Enumeration date
06/22/2015
Last updated
07/17/2018
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