Individual
MR. TERRY RICHARD DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
(254) 286-7326
Mailing address
9201 MACSWAIN PL, SPRINGFIELD, VA 22153-3904
(808) 779-9290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132261-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168857
VA
367500000X
Certified Registered Nurse Anesthetist
077953
IL
Other
Enumeration date
01/14/2008
Last updated
09/03/2023
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