Whalio Doctors

NPI 1134246895

David Carroll Dickson, CERTIFIEDPEDORTHI

Practitioner Pedorthist Shenandoah, IA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 074625 (IA)
Surgical Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

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.