Individual
DR. DONALD GEORGE DICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 NORTH 14TH AVENUE, SUITE 275, PASCO, WA 99301-4079
(509) 545-0414
(509) 545-9398
Mailing address
1200 NORTH 14TH AVENUE, SUITE 275, PASCO, WA 99301-4079
(509) 545-0414
(509) 545-9398
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00028507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110584
—
WA
01
—
56275
LABOR & IND
WA
Enumeration date
12/20/2006
Last updated
10/11/2016
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