Individual
JOHN E DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1731 W BASELINE RD, SUITE 103, MESA, AZ 85202-5730
(480) 775-6733
(480) 775-6641
Mailing address
8611 N BLACK CANYON HWY, SUITE 214, PHOENIX, AZ 85021-4105
(602) 358-7429
(602) 358-7434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5526
AZ
Other
Enumeration date
01/31/2007
Last updated
07/09/2007
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