Individual
THOMAS B DICKSON
Active
Individual
THOMAS B DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD009404E
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD009404E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006819880002
—
PA
01
—
0040119000
KEYSTONE EAST
PA
01
—
01189301
BLUE CROSS
PA
01
—
019360
KEYSTONE CENTRAL
PA
01
—
18864
GEISINGER
PA
01
—
200009504
RAILROAD MEDICARE
PA
01
—
231857130
DEVON
PA
01
—
4270763
AETNA
PA
01
—
821239
FIRST PRIORITY HEALTH
PA
01
—
P975753
OXFORD
PA
Enumeration date
08/22/2005
Last updated
06/13/2008
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