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Individual

DR. GERALD LEWIS DICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., PLLC

Contact information

Practice address
3400 NW EXPRESSWAY, BLDG. C, SUITE 604, OKLAHOMA CITY, OK 73112
(405) 945-4828
(405) 945-4829
Mailing address
3400 NW EXPRESSWAY, BLDG. C, SUITE 604, OKLAHOMA CITY, OK 73112
(405) 945-4828
(405) 945-4829

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1726
OK

Other

Enumeration date
05/23/2006
Last updated
10/10/2007
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