Individual
DAVID L DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2042 NE WILLIAMSON CT, ST. CHARLES SLEEP CENTER - BEND, BEND, OR 97701-3760
(541) 706-6905
(541) 371-4580
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-6905
(541) 371-4580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD19899
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD19899
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287267
—
OR
Enumeration date
01/05/2006
Last updated
01/17/2022
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