Individual
JOEL L DICKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1705 ARBOR WAY, COLORADO SPRINGS, CO 80905-2128
(719) 471-6512
(719) 572-9033
Mailing address
PO BOX 490, CASCADE, CO 80809-0490
(719) 471-6512
(719) 572-9033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29801
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01298017
—
IL
Enumeration date
03/07/2006
Last updated
07/21/2022
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