Individual
DR. LANCE MATHEW DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 E FLORENCE BLVD DEPT OF, CASA GRANDE, AZ 85122-5303
(520) 381-6300
Mailing address
PO BOX 644, MILLVILLE, UT 84326-0644
(435) 881-2628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
56073
AZ
207P00000X
Emergency Medicine Physician
60330
CO
207P00000X
Emergency Medicine Physician
Primary
A155538
CA
Other
Enumeration date
03/24/2015
Last updated
04/18/2019
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