Individual
JONATHAN FREDERICK DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 WRAMC RM 2J32, 6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
(202) 782-9731
Mailing address
2 WALTER REED ARMY MEDICAL CTR RM 2J38, 6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0001
(202) 782-9731
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2021-02667
NC
Other
Enumeration date
06/22/2007
Last updated
10/21/2021
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