Individual
DR. DANIEL J DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 WASHINGTON ST E, SUITE 108, CHARLESTON, WV 25301-1834
(304) 347-4600
(304) 347-4621
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 347-1290
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16420
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053040000
—
WV
Enumeration date
09/02/2006
Last updated
07/08/2007
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