Organization
RUSSELL S DICKERSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL DICKERSON (MD)
(325) 670-5320
Entity
Organization
Contact information
Practice address
1101 N 19TH STREET, SUITE NO 114, ABILENE, TX 79601
(325) 670-5320
(325) 670-5329
Mailing address
1101 N 19TH STREET, SUITE NO 114, ABILENE, TX 79601
(325) 670-5320
(325) 670-5329
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
J1517
TX
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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