Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OTTO FREDERICK DICKMAN IV, M.D.
ActiveDR. OTTO FREDERICK DICKMAN IV, M.D. is a Family Medicine healthcare provider located in CASTLE DALE, Utah. NPI 1619065943 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CASTLE DALE, UT
Registration Details
- NPI Number
- 1619065943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.815867863514 yrs)
- Last Updated
- Jul 9, 2007
- License
-
495-6304-1205 (UT)
Practice Information
- Address
-
90 WEST MAINEMERY MEDICAL CENTERCASTLE DALE, UT, 845130607Browse UT providers · Browse ZIP 84513
- Phone
- 4353812305
- Fax
- 4353814535
- Primary Specialty
-
Family Medicine
207Q00000X
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.