Individual
ANN T DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-4000
Mailing address
91 S CLARKSON ST, DENVER, CO 80209-2119
(303) 715-0563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30412
CO
2083X0100X
Occupational Medicine Physician
30412
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01304120
—
CO
Enumeration date
03/20/2007
Last updated
03/09/2021
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