Individual
THOMAS A DICKINSON
Active
Individual
THOMAS A DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1660021205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049
DMBA
UT
01
—
100002620
PALMETTO GBA
UT
01
—
107006219101
IHC HEALTHPLANS
UT
01
—
29-00040
UNITED HEALTHCARE
UT
01
—
5285
PEHP
UT
01
—
QM0000009178
ALTIUS
UT
Enumeration date
05/04/2006
Last updated
11/27/2023
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