Organization
WALTER D. DICKSON DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER D. DICKSON D.P.M. (OWNER)
(724) 758-5564
Entity
Organization
Contact information
Practice address
310 STATE ROUTE 288, ELLWOOD CITY, PA 16117-5544
(724) 758-5564
(724) 758-6251
Mailing address
310 STATE ROUTE 288, ELLWOOD CITY, PA 16117-5544
(724) 758-5564
(724) 758-6251
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
SC001379-L
PA
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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