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Individual

DR. TRICIA LYNN DICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
25 JACOBS GULCH RD STE 1, KELLOGG, ID 83837-2023
(208) 263-0649
(208) 265-6743
Mailing address
25 JACOBS GULCH RD STE 1, KELLOGG, ID 83837-2023
(208) 263-0649
(208) 265-6743

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15304
ND
207P00000X
Emergency Medicine Physician
M8720
ID
207P00000X
Emergency Medicine Physician
Primary
MD60797587
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806518300
ID
Enumeration date
07/19/2006
Last updated
09/23/2025
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