Individual
MR. RANDALL C DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1001 NORTH BROADWAY, SUITE A11, EVERETT, WA 98201
(360) 658-4339
(360) 658-9868
Mailing address
2000 1ST AVE, UNIT 1001, SEATTLE, WA 98121-2165
(206) 420-8115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10003610
WA
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PA10003610
WA
Other
Enumeration date
07/09/2006
Last updated
03/30/2021
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