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Individual

ANNA H DICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3207 N ACADEMY BLVD, SUITE 3500, COLORADO SPRINGS, CO 80917-5100
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 3627
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34173013
CO
Enumeration date
04/17/2013
Last updated
04/03/2017
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