Individual
DR. DAVID P DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
3705 N HARRISON ST, SHAWNEE, OK 74804-2223
(405) 273-6822
(888) 413-2901
Mailing address
3705 N HARRISON ST, SHAWNEE, OK 74804-2223
(405) 273-6822
(888) 413-2901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2916
CO
111N00000X
Chiropractor
Primary
4127
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C26033
MEDICARE LEGACY
CO
Enumeration date
12/29/2006
Last updated
04/14/2021
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