Organization
PHILLIP DICKINSON, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP W. DICKINSON M.D. (PRESIDENT AND CEO)
(619) 464-4469
Entity
Organization
Contact information
Practice address
8554 LA MESA BLVD, LA MESA, CA 91941-3958
(619) 464-4469
(619) 713-0479
Mailing address
PO BOX 2213, LA MESA, CA 91943-2213
(619) 464-4469
(619) 713-0479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A86720
CA
Other
Enumeration date
09/04/2008
Last updated
12/12/2010
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