Individual
BENJAMIN W DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2323 BETHARDS DR, SANTA ROSA, CA 95405-8500
(707) 542-1611
(707) 542-9958
Mailing address
2323 BETHARDS DR, SANTA ROSA, CA 95405-8500
(714) 937-6233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A149307
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
10/21/2021
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