Organization
KM DICKSON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY S DICKSON DO (PROVIDER)
(619) 997-4502
Entity
Organization
Contact information
Practice address
555 SATURN BLVD STE B292, SAN DIEGO, CA 92154-4766
(619) 591-9999
Mailing address
1008 OCEAN LN, IMPERIAL BEACH, CA 91932-2556
(619) 591-9999
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
01/19/2017
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