Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY J DICKINSON, D.O.
Active Sole ProprietorDR. LARRY J DICKINSON, D.O. is a Family Medicine healthcare provider located in GALLATIN, Missouri. NPI 1972583094 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GALLATIN, MO
Registration Details
- NPI Number
- 1972583094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2006 (20.569400538921 yrs)
- Last Updated
- Nov 20, 2009
- License
-
R7052 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 E JOHNSON STGALLATIN, MO, 646401338Browse MO providers · Browse ZIP 64640
- Phone
- 6606632800
- Fax
- 6606633707
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GALLATIN, MO
| Name | Credential | NPI |
|---|---|---|
| ZACHERY C. MAHLER | MD | 1831750785 |
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.