Individual
DANIEL S DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
9755 RIDGE DR, LENEXA, KS 66219-9746
(913) 410-2973
(913) 599-2753
Mailing address
9755 RIDGE DR, LENEXA, KS 66219-9746
(913) 410-2973
(913) 599-2753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-28009
KS
Other
Enumeration date
01/06/2006
Last updated
01/11/2017
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