Individual
DR. DAVID P DICKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 FRONT ST, LYNDEN, WA 98264-1923
(360) 354-4200
(360) 318-0741
Mailing address
500 FRONT ST, LYNDEN, WA 98264-1923
(360) 354-4200
(360) 318-0741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033992
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156043
L & I
WA
01
—
7109408
DSHS
WA
05
—
8214876
—
WA
Enumeration date
05/26/2006
Last updated
07/08/2007
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