Individual
PAUL A DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
709 N LINCOLN AVE, JEROME, ID 83338-1851
(208) 324-4301
(208) 324-9529
Mailing address
709 N LINCOLN AVE, JEROME, ID 83338-1851
(208) 324-4301
(208) 324-9529
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20013
ID
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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