Individual
SCOTT RUSSELL DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3221
Mailing address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3221
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
157360
AK
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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