Individual
DR. JAMES DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1885
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD036403E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1514318
GATEWAY
PA
01
—
207P00000X
TAXONOMY
PA
01
—
538832
BLUE SHIELD
PA
01
—
DI538832
REFERRING ID
PA
05
—
MD036403E
—
PA
Enumeration date
10/02/2006
Last updated
07/08/2007
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