Individual
DR. DAVID W DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 W R D MIZE RD, BLUE SPRINGS, MO 64014-2518
(816) 228-5900
Mailing address
PO BOX 414965, KANSAS CITY, MO 64141-4965
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
112757
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
112757
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24382035
BCBS MO
MO
Enumeration date
08/12/2005
Last updated
07/13/2026
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