Individual
SHANE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
14973 W BELL RD, SURPRISE, AZ 85374-3236
(602) 863-4203
Mailing address
14973 W BELL RD STE 150, SURPRISE, AZ 85374-3637
(602) 863-4203
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADE16925
AZ
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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