Individual
STEPHEN DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
706 CRANBERRY DR, GREENFIELD, IN 46140-8724
(317) 468-5772
Mailing address
706 CRANBERRY DR, GREENFIELD, IN 46140-8724
(317) 468-5772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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