Individual
MR. DAVID ALAN DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
14139 POTOMAC MILLS ROAD, WOODBRIDGE, VA 22192-4644
(703) 490-7664
(703) 490-7795
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 W ATTN THERESA BROOKS, ROCKVILLE, MD 20853
(301) 816-2414
(301) 388-1740
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024131738
VA
Other
Enumeration date
01/12/2007
Last updated
03/09/2012
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