Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAVID CARROLL DICKSON, 1.CERTIFIED PEDORTHI
Active Sole ProprietorMR. DAVID CARROLL DICKSON, 1.CERTIFIED PEDORTHI is a 224L00000X healthcare provider located in SHENANDOAH, Iowa. NPI 1134246895 is currently active in the NPPES registry. Verify at CMS.
224L00000X · SHENANDOAH, IA
Registration Details
- NPI Number
- 1134246895
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.35914583159 yrs)
- Last Updated
- Oct 6, 2015
- License
-
074625 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 W. SHERIDAN AVENUESHENANDOAH, IA, 51601Browse IA providers · Browse ZIP 51601
- Phone
- 7122462635
- Fax
- 7122463933
- Primary Specialty
-
224L00000X
224L00000X
- Additional Specialty
- 224L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.