Individual
DR. DAVID L DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985 GOETHALS DR, RICHLAND, WA 99352-3527
(509) 946-9375
Mailing address
985 GOETHALS DR, RICHLAND, WA 99352-3527
(509) 946-9375
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00036697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110832
—
WA
Enumeration date
07/03/2006
Last updated
07/08/2007
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