Individual
MR. ROBERT DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
295 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 425-0930
(513) 425-0960
Mailing address
PO BOX 181131, FAIRFIELD, OH 45018-1131
(513) 874-2686
(513) 874-2686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
NA022585
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0763142
—
OH
Enumeration date
06/06/2006
Last updated
07/08/2007
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