Individual
DR. TYLER LEE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
(406) 883-8910
Mailing address
PO BOX 262, LIBERTY LAKE, WA 99019-0262
(406) 883-5680
(406) 883-8910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10229A
WY
207P00000X
Emergency Medicine Physician
4301101289
MI
207P00000X
Emergency Medicine Physician
Primary
MED-PHYS-LIC-92059
MT
Other
Enumeration date
06/21/2012
Last updated
01/19/2023
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