NPI 1134246895
David Carroll Dickson, CERTIFIEDPEDORTHI
Practice location
- Address
- 612 W. Sheridan Avenue, Shenandoah, IA 51601
- Phone
- (712) 246-2635
- Fax
- (712) 246-3933
- Mailing address
- 612 W. Sheridan Avenue Jay Drug C. (dcd Pedorthics), Shenandoah, IA 51601
Registered specialties (2)
Pedorthist
Primary
Surgical Technologist
Registry record
- NPI
- 1134246895
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Mar 2007
- Record last updated
- 6 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.