Individual
DAVID SHAWN DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1010 S 7650 EAST, CROW AGENCY, MT 59022-0000
(406) 638-3500
Mailing address
PO BOX 9, CROW AGENCY, MT 59022-0009
(406) 638-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
34871
MT
Other
Enumeration date
10/03/2006
Last updated
08/12/2019
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