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Individual

QUENTIN STOKES DICKINS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1112 N VAN BUREN AVE, SUITE 3, OTTUMWA, IA 52501-6416
(641) 682-8302
(641) 682-6534
Mailing address
1112 N VAN BUREN AVE, SUITE 3, OTTUMWA, IA 52501-6416
(641) 682-8302
(641) 682-6534

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22402
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0183624
IA
Enumeration date
08/29/2006
Last updated
07/08/2007
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