Individual
SCOTT D DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1820
(435) 716-1693
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1820
(435) 716-1693
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
9291183-1204
UT
208000000X
Pediatrics Physician
02003323A
IN
208000000X
Pediatrics Physician
58.002130
OH
Other
Enumeration date
03/18/2007
Last updated
09/08/2021
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