Individual
DR. TINA D DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2601 KELLEY POINTE PKWY, STE. 101, EDMOND, OK 73013-2995
(405) 844-2601
Mailing address
2601 KELLEY POINTE PKWY, STE. 101, EDMOND, OK 73013-2995
(405) 844-2601
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4183
OK
Other
Enumeration date
06/04/2007
Last updated
09/26/2011
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