Individual
JEFFREY DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4801 E MCDOWELL RD STE 150, PHOENIX, AZ 85008-7725
(602) 954-3919
(602) 954-3670
Mailing address
5700 W OLIVE AVE STE 101, GLENDALE, AZ 85302-3147
(623) 299-9540
(623) 299-9530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
009276
AZ
Other
Enumeration date
03/21/2019
Last updated
07/06/2023
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