NPI 1861586745 DAVID SHAWN DICKINSON PA-C MORAN WY. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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David Shawn Dickinson - NPI: 1861586745

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DAVID SHAWN DICKINSON
NPI Number: 1861586745
Entity Type Code: Individual (1)
Gender: M
Credentials: PA-C
License Number: 221
Business Practice Address: 1 Inner Loop Road
Jackson Lake Lodge Moran, WY - 830130000
Business Phone Number: 3075432514
Business Fax Number:
Mailing Address: 1 Inner Loop Road, Jackson Lake Lodge
MORAN
State: WY
Postal Code: 830130000
Phone Number: 3075432514
Fax Number:
NPI Enumeration Date: 10/03/2006
NPI Last Update Date: 06/09/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 221
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WY
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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