Individual
DR. IAN DOUGLAS DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-9001
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 837-0072
(303) 837-0075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
016401
ME
207X00000X
Orthopaedic Surgery Physician
294218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28615522
—
CO
05
—
431557599
—
ME
Enumeration date
01/30/2006
Last updated
06/24/2024
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