Individual
PATRICK CALLEN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 S 52ND ST, ROGERS, AR 72758
(479) 271-9607
(479) 271-2133
Mailing address
1000 S 52ND ST, ROGERS, AR 72758-8610
(479) 271-9607
(479) 271-2133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E12109
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2012
Last updated
08/12/2019
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