Individual
STEVEN DANIEL DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1595 GRAND AVE STE 106, SAN MARCOS, CA 92078-2450
(760) 736-6767
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5874
CA
Other
Enumeration date
06/10/2019
Last updated
12/02/2025
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