Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DANE J DICKSON, MD
Active Sole ProprietorDR. DANE J DICKSON, MD is a Hematology healthcare provider located in REXBURG, Idaho. NPI 1669497194 is currently active in the NPPES registry. Verify at CMS.
Hematology · REXBURG, ID
Registration Details
- NPI Number
- 1669497194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2006 (20.096707595871 yrs)
- Last Updated
- Jan 24, 2008
- License
-
M8118 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
380 WALKER DRIVEREXBURG, ID, 83440Browse ID providers · Browse ZIP 83440
- Phone
- 2083569559
- Fax
- 2083566601
- Primary Specialty
-
Hematology
207RH0003X
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.