Individual
BRIAN DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1314 PETERS CREEK RD NW, ROANOKE, VA 24017-2500
(540) 562-5700
(540) 562-4278
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202415
VA
207Q00000X
Family Medicine Physician
OP60025783
WA
Other
Enumeration date
05/24/2007
Last updated
08/24/2022
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