Individual
DR. ERICA JOHN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 542-4897
Mailing address
224 S WOODS MILL RD, SUITE 210 SOUTH, CHESTERFIELD, MO 63017-3451
(314) 542-4897
(314) 205-6003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2006023676
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207397308
—
MO
Enumeration date
11/07/2006
Last updated
03/02/2009
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