SAMUEL DAVID DICKERSON NPI 1801651765

NPI Information

NPI: 1801651765
Provider Name: SAMUEL DAVID DICKERSON
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-1420
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Samuel David Dickerson is a military health care provider in Tacoma, WA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Samuel David Dickerson NPI is 1801651765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-1420

The enumeration date for this NPI number is 2/19/2024 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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