Individual
DR. MADELINE ANN DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
222 W THOMAS RD STE 114, PHOENIX, AZ 85013-4420
(602) 406-6304
(602) 406-6302
Mailing address
240 W THOMAS RD # 301, PHOENIX, AZ 85013-4407
(602) 406-7765
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
010088
AZ
208100000X
Physical Medicine & Rehabilitation Physician
19484
ND
208100000X
Physical Medicine & Rehabilitation Physician
95301
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
10/16/2024
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