Individual
MR. JAMES BYRON DICK
Active
Individual
MR. JAMES BYRON DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003239
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013012
ANTHEM BLUE CROSS
VA
01
—
3925750001
DMERC
VA
01
—
5253045
AETNA
VA
Enumeration date
01/27/2006
Last updated
01/16/2014
Update your record
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