Individual
MR. RICHARD J DICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
RICHARD ROUDEBUSH VA MEDICAL CENRTER, 1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202
(317) 554-0000
(317) 226-0455
Mailing address
RICHARD ROUDEBUSH VA MEDICAL CENRTER, 1481 WEST 10TH STREET, INDIANAPOLIS, IN 46202
(317) 554-0000
(317) 226-0455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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