Organization
BRIAN P. DICKINSON, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P DICKINSON MD (PRESIDENT)
(949) 612-8632
Entity
Organization
Contact information
Practice address
351 HOSPITAL RD STE 305, NEWPORT BEACH, CA 92663-3505
(949) 612-8632
Mailing address
351 HOSPITAL RD STE 305, NEWPORT BEACH, CA 92663-3505
(949) 612-8632
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A86239
CA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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