Individual
CASEY DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1039 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4228
(330) 965-8760
Mailing address
1051 E 9TH ST, SALEM, OH 44460-1713
(330) 853-7759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004155
OH
Other
Enumeration date
12/04/2014
Last updated
04/26/2017
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