Individual
BRENDAN CRAIG DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5933
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5933
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD4329779
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT192999
PA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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