Individual
MARK T DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 LEECHBURG RD, NEW KENSINGTON, PA 15068-4673
(724) 337-9933
(724) 337-7677
Mailing address
2400 LEECHBURG RD, NEW KENSINGTON, PA 15068-4673
(724) 337-9933
(724) 337-7677
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000331L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200084
HIGHMARK BC BS
PA
Enumeration date
03/26/2007
Last updated
07/08/2007
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